Study on Factors Associated With Recurrence of Abdominal Wall Endometriosis After Surgical Treatment
10.3969/j.issn.1009-6604.2025.05.002
- VernacularTitle:腹壁子宫内膜异位症术后复发的相关因素研究
- Author:
Jinghua SONG
1
;
Kun ZHANG
1
;
Hongyan GUO
1
Author Information
1. 北京大学第三医院妇产科,北京 100191
- Publication Type:Journal Article
- Keywords:
Abdominal wall endometriosis;
Postoperative recurrence;
Influencing factor
- From:
Chinese Journal of Minimally Invasive Surgery
2025;25(5):264-267
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the risk factors influencing postoperative recurrence of abdominal wall endometriosis(AWE).Methods A retrospective analysis was conducted on clinical data of 225 AWE patients who underwent surgery between January 2015 and December 2021.The follow-up period ranged from 30 to 108 months(mean,62.2±23.3 months).There were 16 cases of recurrence and 209 cases of non-recurrence.Univariate analysis and multivariate logistic regression were performed to identify factors associated with postoperative recurrence.Results Univariate analysis revealed that prior AWE resection history,preoperative VAS score,intraoperative lesion number,maximum diameter,and postoperative medication were significantly correlated with recurrence(P＜0.05).Multivariate logistic regression identified three independent risk factors for recurrence:prior AWE resection history(OR=4.082,95％ CI:1.019-16.354,P=0.047),multiple intraoperative lesions(OR=5.275,95％ CI:1.560-17.834,P=0.007),and absence of postoperative pharmacotherapy(OR=6.256,95％ CI:1.479-26.457,P=0.013).Conclusion Patients with a history of prior AWE excision,multiple lesions,or lack of postoperative pharmacotherapy are at higher risk of recurrence of AWE.
