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目的:通过临床病例资料对比分析子宫腺肌病与子宫肌瘤患者的临床表现及超声特点,以提高子宫腺肌病与子宫肌瘤的诊断准确率。方法:随机选取我院妇科2014年1月至2014年12月期间收治的40例子宫腺肌病患者作为子宫腺肌病组,同时选取40例子宫肌瘤患者作为子宫肌瘤组,对比分析两组患者的年龄、既往史、临床症状、及血清CAl25水平等。结果:(1)两组患者均具有典型的超声表现,子宫腺肌病患者多有流产、早产史或宫腔操作史;子宫肌瘤组多伴有盆腔炎、附件炎、子宫内膜炎、宫颈炎、月经不调史及口服避孕药史。(2)两组患者的平均年龄均以育龄妇女为主,而且临床表现均以月经过多、经期延长为主,两组间比较无明显差异,不具有统计学意义,P>0.05;子宫腺肌病组的痛经、性交疼痛比例明显高于子宫肌瘤组,贫血比例明显低于子宫肌瘤组,具有统计学意义,P<0.05;子宫腺肌病组的血清CA125水平明显高于子宫肌瘤组,具有统计学意义,P<0.05。结论:子宫腺肌病与子宫肌瘤患者在既往史、临床症状、血清CA125水平及超声特征方面存在明显差异,可以作为两种疾病临床诊断与鉴别的参考依据。
Objective: To compare the clinical manifestations and characteristics of patients with adenomyosis and uterine myoma by clinical case data to improve the diagnostic accuracy of adenomyosis and uterine fibroids. Methods: A total of 40 cases of adenomyosis admitted to our hospital from January 2014 to December 2014 were selected as the adenomyosis group, and 40 cases of uterine fibroids were selected as the uterine fibroids group. Group patient’s age, past history, clinical symptoms, and serum CAl25 levels. Results: (1) The two groups of patients had typical ultrasound manifestations. There were more abortion, premature birth or intrauterine operation in patients with adenomyosis. The majority of uterine fibroids group were pelvic inflammatory disease, annex inflammation, endometritis, Cervicitis, history of irregular menstruation and history of oral contraceptives. (2) The average age of the two groups of patients are mainly women of childbearing age, and clinical manifestations are menorrhagia, menstrual prolongation, there was no significant difference between the two groups, not statistically significant, P> 0.05; uterine gland Myopathy dysmenorrhea, intercourse pain was significantly higher than the proportion of uterine fibroids, anemia was significantly lower than the ratio of uterine fibroids group, with statistical significance, P <0.05; adenomyosis group serum CA125 levels were significantly higher than the uterine muscle Tumor group, with statistical significance, P <0.05. Conclusion: There are significant differences in the past history, clinical symptoms, serum CA125 levels and ultrasound features between patients with adenomyosis and uterine fibroids, which can serve as a reference for the clinical diagnosis and differential diagnosis of the two diseases.