Clinical analysis of 436 cases of uterine adenomyosis

Objective: Etiopathogenesis and the methods of diagnosis and treatment have been discussed,in order to raise the diagnosis accuracy.Methods: Clinical data of 436 patients who had done surgery and proved to be adenomyosis by pathology in these six years were retrospectively analyzed.Results: The incidence of uterine adenomyosis was 13.7%(436/3182).81.0% of cases is between 36 and 50y.96.8% of these patients have the history of pregnancy and 94.7% has the history of delivery.Clinical diagnostic symptoms were dysmenorrhoe(64.4%),abnormal menstruation(60.6%).Augmentation of uterine was 94.0% and tenderness was 34.4% in gynecologial examination.Coincidence rate between pathology and sonography is 78.3%.Coincidence rate between pathology and preoperative diagnosis is 81.7%.Optimal treatment was hysterectomy,54.6% is subtotal hysterectomy,43.3% is total hysterectomy.Conclusion: Adenomyosis is one of the most common gynecological benign diseases.It is often complicated with leiomyoma and/or chocolate cyst of ovary;so we must distinguish carefully and depress the rate of misdiagnosis and missed diagnosis.