Comparison of Clinical Characteristics between Adenomyosis and hysteromyoma

Objective:To explore the preoperative diagnosis of adenomyosis by comparing the clinical characteristics of adenomyosis and hysteromyoma and investigating the application of ultrasonography B and laboratory tests.Methods:52 cases of adenomyosis and 62 cases of hysteromyoma were selected.A comparative study was conducted over their ages of the onset,clinical manifestations,results of ultrasound B and levels of serum CA125.Results:The two groups of patients were similar in age of onset and clinical manifestations.However,dysmenorrhea was more prominent in the group of adenomyosis than in hysteromyoma.There was significant difference(P0.01).Physical examine of gynecology showed that uterine enlargement in adenomyosis group was homogeneous and less than enlargement of 12 weeks' pregnancy and that uterine body tender was more prominent than in hysteromyoma group(P0.01).The accuracies of B-ultrasonic were 61.5%and 93.5% for adenomyosis and hysteromyoma,respectively.Such difference was statistically significant(P0.01).In adenomyosis group,the level of serum CA125 was increased evidently and the positive rate was 80.8%,much higher than that in hysteromyoma group(4.8%,P0.01).Conclusions:The diagnosis accuracies of the adenomyosis and hysteromyoma can be improved by analyzing synthetically the clinical characteristics and the laboratory detectons.