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。
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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