Correlation factors analysis of endometriosis recurrence after laparoscopic surgery

Objective: To investigate the factors correlated to the endometriosis recurrence after treatment with laparoscopic surgery and provide basis for clinical treatment. Methods: The recurrence situation of 134 patients with endometriosis undergoing laparoscopic surgery during May 2009 and May 2011 were analyzed retrospectively. There were 62 cases of r-AFS stage Ⅰ and Ⅱ,49 cases of stage Ⅲ and 23 cases of stage Ⅳ. Related factors were analyzed with logistic regression to screen relative factors of recurrence. Results:Logistic regression analysis revealed that a total of 22( 16. 4%) in 134 patients investigated suffered from recurrence. Factors that might significantly( P≤0. 05) correlate with recurrence of endometriosis included r-AFS scores( OR = 5. 785,CI = 1. 939-17. 261,P= 0. 002),surgical procedures( OR = 0. 301,CI = 0. 109-0. 830,P = 0. 020) and postoperative medication( OR = 0. 062,CI = 0. 016-0. 234,P = 0. 000). Conclusions: R-AFS scores,surgical procedures and postoperative medication are key factors of endometriosis recurrence after laparoscopic surgery. Clinical interventions should be strengthened to reduce the recurrence rate.