Objective To systematically review the incidence and risk factors of recurrence after myomectomy in Chinese women, so as to provide references for creating clinical prevention strategy. Methods Relevant literatures were searched in PubMed, Web of Science, CNKI, CBM, VIP and Wanfang Databases. Eligible studies were selected according to the predefined inclusion and exclusion criteria. Then the quality evaluation (NOS) and data extraction were conducted. Meta-analysis and publication bias examination were done using software Stata11.0. Results A total of 25 studies were included at last, including 4 900 patients and 1 331 recurrent cases. The results of the meta-analysis showed that the recurrence incidence after myomectomy was 27% in Chinese women. It was found that menarche age<14y, times of pregnancy(0), fibroid number≥2, and family history of uterine myoma had the pooled RR (95% CI) values as 1.30(1.10,1.53), 1.27(1.12,1.45), 2.41(1.71,3.40), and 1.32(1.09,1.59), respectively. Conclusion The recurrence rate after myomectomy is relatively high in Chinese women. Menarche age <14 y, no preoperative history of pregnancy, fibroid number ≥2, and family history of uterine myoma are positively related to recurrence after myomectomy, and early prevention measures should be taken accordingly.