Abstract:

Abstract：The recurrence of uterine fibroids is related to many factors，including patient age，BMI，the size and numer of tumers in the former operation，times of pregnancy or delivery and the means of original treatment.The principles of treatment should be relieving symptoms and curing diseases.The follow-up，GnRH-a drug therapy and surgery are the main treatment methods.It is FIGO stage of uterine fibroids that indicates the interrelationship of the location of tumer to the endometrial，which provides the evidence for individualized treatment.Total hysterectomy is necessary when boundary tumer is suspected.

Key words: uterine myoma, stage；recurrence, total hysterectomy

摘要：

子宫肌瘤治疗后复发的危险因素包括年龄、体重指数、初次手术时肌瘤的大小和数目以及孕产次，还与初次治疗的方法有关。处理原则应以解除症状和根治疾病为主，包括随诊观察、药物治疗和手术治疗。子宫肌瘤国际妇产科联盟（FIGO）新分期，明确了肌瘤与子宫内膜的关系，为患者制定个体化治疗方案提供有力依据。复发性子宫肌瘤有交界性子宫肌瘤的可能时，手术选择全子宫切除为宜。

关键词: 子宫肌瘤, 分期, 复发, 全子宫切除