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目的探讨子宫腺肌病的临床诊断方法,提高诊断率。方法收集本院2000-2007年住院病例110例子宫腺肌病对其进行回顾性分析。结果发病年龄以35～40岁最多占82.6%,痛经占72%,月经过多占63.2%。术前诊断率仅占40%,B超诊断占44.3%。结论子宫腺肌病的发病与内分泌失调、医源性损伤和炎症刺激等综合因素作用有关,临床术前诊断率很低,应结合病史、临床症状和必要的盆腔检查,进行综合判断,以达到减少误诊,提高术前诊断正确率的目的。
Objective To investigate the clinical diagnosis of adenomyosis and improve the diagnosis rate. Methods A total of 110 inpatients with adenomyosis from 2000 to 2007 in our hospital were retrospectively analyzed. Results The age of onset accounted for up to 82.6% in 35-40 years old, dysmenorrhea accounted for 72%, and menorrhagia accounted for 63.2%. Preoperative diagnosis rate was only 40%, B ultrasound diagnosis accounted for 44.3%. Conclusions The incidence of adenomyosis is related to the combined effects of endocrine disorders, iatrogenic injuries and inflammatory stimuli. The preoperative diagnosis rate is very low. Combined with medical history, clinical symptoms and necessary pelvic examination, comprehensive judgment should be made to achieve Reduce misdiagnosis, improve the accuracy of preoperative diagnosis purposes.