Clinical analysis of 306 cases of uterine adenomyosis

In: Zhongguo jiceng yiyao · 2004 · vol. 11(03) , pp. 297–298 · doi:10.3760/cma.j.issn.1008-6706.2004.03.020 · W3031712929
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Abstract

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2001年1月至2003年6月在我院经妇科手术后病理证实为子宫腺肌病306例的临床资料进行回顾性分析.结果多见于31~50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).60.8%(186/306)合并子宫肌瘤,术前临床诊断符合率仅有18.6%(57/306),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。

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adenomyosis

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