Clinical analysis of 306 cases of uterine adenomyosis

Objective To explore the aetiology and diagnosis methods of uterine adenomyosis so as to elevate the accuracy of clinical diagnosis.Methods The clinical data of 306 patients admitted to our hospital from January 2001 to June 2003 were analyzed for uterine adenomyosis with pathologic diagnosis after uterectomy.Results The majority of patients were 31 to 50 years of the multiparous women's ages(86.3%).The most common symptoms and signs were menstrual abnormity(including menorrhalgia).Among the 306 cases there were 181 cases(60.8%) complicated with myoma.Before operation,accuracy in diagnosis was only 18.6% by physical check up,the clinical miss dignosis were up to 78.1%.Conclusion The disease should be associated with stimulation by high level of estrogen and intrauterine opertion and chronic cervicitis.Diagnosis should be made based on combination with hostory,clinical features and pelvic cavity examination.It is critical to be fully aware of the characteristics of this disease so as to minimize misdiagnosis.