• 沒有找到結果。

此項研究的案例皆來自最熟悉此手術的同一位醫師的病人,

可減少因醫師技術能力的不同,所造成的影響;但是由於收案時間長 達 6 年,同一位醫師的經驗技術仍會隨時間進步,為減少此項干擾,

收案的時間是從該醫師已有約 100 例的手術經驗開始算起。但追蹤時 間為 1 至 7 年,對復發疾病的評估,時間仍有不足,應於幾年後再追 蹤疾病復發的評估。

參考文獻

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附錄

Table 1. 204 位病患切下來的病理報告

病理報告 個案術 備註

Myoma(pathology including myoma) 200

Myoma 147

Myoma and EM polyp 27

Myoma and adenomyosis 11

Myoma and simple hyperplasia 8

Myoma and focal complex hyperplasia 1

Myoma and cystic hyperplasia 1

Myoma and retained placenta 1

Myoma and product of conception 1

Adenomyoma 3

Atypical polypoid adenoma 1

Endometrial stromal tumor 1

leiomyosarcoma 1 接受

ATH+BSO+BPLND Ovarian sex cord tumor and adenomatous tumor

of left cornus

1 接受 LAVH

table 2. 黏膜下肌瘤的數目、大小、位置及型態 黏膜下肌瘤

數目 1(n=166),2(n=18),≧3(n=16) 大小 ≦2cm(n=80),2<size≦3cm(n=56),

3<size≦4cm(n=29),>4cm(n=35)

位置 上壁(n=82),下壁(88),側壁(7),宮底(fundus)(15),

low seg(30)

型態 Type0(n=97), TypeⅠ(n=60),TypeⅡ(n=43)

Table 3 無法全部切除為依變項,與各自變項進行逐步羅吉斯式回歸

變項名稱 Odds Ratio 95%信賴區間 卡方值 P

子宮大小 9.051 2.864 28.608 14.0764 0.0002

黏膜下肌瘤數目

>3

5.843 1.512 22.583 6.5503 0.0105

肌瘤型態 type2 3.715 1.222 11.290 5.3530 0.0207

Table 4 無法一次切除為依變項,與各自變項進行逐步羅吉斯式回歸

變項名稱 Odds Ratio 95%信賴區間 卡方值 P

經痛 16.676 2.460 113.055 8.3043 0.0040

肌瘤>4cm 59.223 7.915 443.126 15.7980 <.0001

肌瘤位於上壁 12.499 1.794 87.068 6.5043 0.0108

Table 5 以無復發為依變項與各自變項進行逐步羅吉斯式回歸

變項名稱 Odds Ratio 95%信賴區間 卡方值 P

合併子宮腺肌瘤 0.005 <0.001 0.097 12.4423 0.0004 黏膜下肌瘤位置

上壁

0.032 0.003 0.384 7.3606 0.0067

黏膜下肌瘤位置 側壁

0.038 0.003 0.482 6.3689 0.0116

肌瘤能完全切除 6.210 1.568 24.599 6.7596 0.0093

Table 6 以經血過多改善的程度為依變項與各自變項進行逐步羅吉 斯式回歸

變項名稱 Odds Ratio 95%信賴區間 卡方值 P

合併子宮腺肌瘤 0.119 0.026 0.550 7.4373 0.0064 子宮大小 0.351 0.130 0.943 4.3138 0.0378 肌瘤能完全切除 53.551 10.832 264.733 23.8342 <.0001