目的回顾性研究子宫肌瘤剔除术后复发的相关危险因素,为有效控制患者复发率提供临依据。方法选择桐乡市妇幼保健院妇产科2011年10月-2015年11月子宫肌瘤患者315例,其中术后复发患者49例作为观察组,其余276例为对照组。采用回顾性方法分析宫肌瘤剔除术后复发相关危险因素,并进行Logistic分析。结果观察组患者年龄和初潮年龄均低于对照组(P<0.05),观察组患者BMI为高于对照组(P<0.05);观察组患者肌瘤数目(多发)、子宫肌瘤长径(≥5 cm)及肌瘤位置(肌壁间)的复发率均高于对照组(P<0.05),观察组患者术后药物治疗为低于对照组(P<0.05)。结论子宫肌瘤剔除术后复发与患者年龄、BMI、初潮年龄、肌瘤数目、子宫肌瘤长径、肌瘤位置及术后药物治疗等相关,其中患者年龄、术后药物治疗与术后复发呈负相关。 Objective To retrospectively study the related risk factors of recurrence after uterine myomectomy and provide a basis for effective control of the recurrence rate. Methods Tongxiang MCH hospital from October 2011 to November 2015 315 cases of uterine fibroids, of which 49 cases of postoperative recurrence patients as the observation group, the remaining 276 cases as the control group. Retrospective analysis of the risk factors of recurrence after uterine myomectomy, and Logistic analysis. Results The age and the age of menarche in the observation group were lower than those in the control group (P <0.05). The BMI in the observation group was higher than that in the control group (P <0.05). The number of fibroids in the observation group (multiple) ≥5 cm) and fibroid position (intramural wall) recurrence rate were higher than the control group (P <0.05), the observation group patients after drug treatment was lower than the control group (P <0.05). Conclusions The recurrence after hysterectomy is related to the age, BMI, age of menarche, the number of myoma, the length of uterine fibroids, the location of fibroids and postoperative drug therapy. Among them, the patients’ age, postoperative drug therapy and postoperative recurrence Negative correlation.