Diagnosis and treatment of adenomyosis:85 cases

Aim To study the incidence,clinical presentation,diagnosis and treatment of adenomyosis. Methods The clinical materials of 85 cases of adenomyosis were analyzed retrospectively. Results 85 cases of adenomyosis were 11.6% of total gynecological patients hysterectomy. 40/85(47.1%) cases had dysmenorrhea and 49/85(57.6%) had menorrhagia or menstrual disorders. 31 cases were diagnosed as adenomyosis preoperatively with 36.5% diagnostic accuracy. The diagnostic accuracy of ultrasound was 17.6%. All except two patients were treated with hysterectomy. Conclusions The incident rate of adenomyosis rose these years. TVS and MRI can increase the diagnostic accuracy. Hysterectomy remains the dominant treatment of adenomyosis up to now.