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目的 探讨子宫腺肌病的病因及诊断方法 ,以提高临床诊断正确率。方法 对 2 0 0 1年 1月至2 0 0 3年 6月在我院经妇科手术后病理证实为子宫腺肌病 30 6例的临床资料进行回顾性分析。结果 多见于31～ 5 0岁经产妇 ,占 86 3%。最常见的临床表现是月经异常 (包括合并痛经 )。 6 0 8% (186 /30 6 )合并子宫肌瘤 ,术前临床诊断符合率仅有 18 6 % (5 7/30 6 ) ,B超诊断符合率仅有 31 4 % ,临床误诊高达 78 1%。结论 子宫腺肌病发病是内分泌失调、高雌激素刺激、损伤和炎症等综合因素作用的结果。临床应提高对本病的重视 ,结合病史、临床症状和必要的盆腔检查 ,进行综合判断 ,以减少误诊。
Objective To investigate the etiology and diagnosis of adenomyosis so as to improve the accuracy of clinical diagnosis. Methods The clinical data of 30 6 cases of adenomyosis confirmed by gynecological operation in our hospital from January 2001 to June 2003 were analyzed retrospectively. Results more common in 31 to 50 years old by the maternal, accounting for 86 3%. The most common clinical manifestations are menses (including dysmenorrhea). 60.8% (186/306) with uterine fibroids, the preoperative clinical diagnosis coincidence rate was only 18 6% (5 7/30 6), B ultrasound diagnosis only 31 4%, clinical misdiagnosis up to 78 1 %. Conclusion The incidence of adenomyosis is the result of the combined effects of endocrine disorders, high estrogen stimulation, injury and inflammation. Clinical should increase the importance of this disease, combined with history, clinical symptoms and necessary pelvic examination, a comprehensive assessment to reduce misdiagnosis.