[Attention should be paid to the early diagnosis and treatment of juvenile adenomyosis]
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This paper discusses juvenile adenomyosis, emphasizing its early diagnosis via imaging and treatment goals of symptom relief, disease progression delay, and individualized medication choices, particularly GnRH agonists with "reverse addition" for severe cases.
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Abstract
青少年子宫腺肌病并不少见，主要症状是痛经和月经过多，一般是进展性疾病。本文从病因、高危因素、发病年龄、临床表现、诊断、治疗等方面与大家一起探讨青少年子宫腺肌病，并呼吁大家要重视青少年子宫腺肌病的早期诊治。超声等影像学检查可以早期发现、早期诊断青少年子宫腺肌病。青少年子宫腺肌病的治疗不仅要缓解疼痛、减少出血，还要注重延缓疾病进展。子宫明显增大或合并子宫肌瘤者，推荐使用促性腺激素释放激素激动剂配合“反向添加”作为长期维持治疗直至尝试生育。青少年还处于生长发育阶段，长期用药时更应注意不良反应。各种药物的疗效及适应证和禁忌证存在区别，选择药物治疗时需个体化。.
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- europepmc
- last seen: 2026-06-16T06:07:01.518242+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
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License: CC0
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