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目的探讨子宫腺肌病与子宫肌瘤的临床特点及B超实验室检测的价值,提高对子宫腺肌病术前诊断率;方法5年来我院妇产科子宫切除术后病理证实为子宫腺肌病120例;并随机选择同期子宫切除术后病理证实的子宫肌瘤患者120例,对两组患者年龄分布、既往史、临床症状、术前诊断;B超检查;血清CA125水平进行比较。结果两组患者均好发于生育年龄妇女,常有月经过多或经期延长差异无统计学意义(P>0.05)。子宫腺肌病术前诊断率56.1%,出现痛经、性交疼痛较多,但继发性贫血少;具有特征性的超声表现;血清CA125水平明显升高。结论子宫腺肌病诊断的金标准是病理诊断,但其既往史、特有症状、B超改变、血清CA125水平增高仍是诊断该病的重要参考指标,并可与子宫肌瘤进行手术前鉴别。
Objective To investigate the clinical features of adenomyosis and uterine fibroids and the value of B-ultrasonography to improve the preoperative diagnosis of adenomyosis. Methods Five years after myomectomy in our hospital, the pathology was confirmed as uterine gland 120 cases of myopathy and randomly selected 120 cases of uterine fibroids confirmed by pathology in the same period. The age distribution, past history, clinical symptoms, preoperative diagnosis, B-ultrasound and serum CA125 levels were compared between the two groups. Results Both groups of patients developed in women of childbearing age, and there was no significant difference in menorrhagia or menstruation (P> 0.05). Adenomyosis preoperative diagnosis rate of 56.1%, dysmenorrhea, sexual intercourse more pain, but less secondary anemia; with characteristic ultrasound performance; serum CA125 levels were significantly higher. Conclusion The gold standard of diagnosis of adenomyosis is pathological diagnosis, but the past history, unique symptoms, B-ultrasound changes, elevated serum CA125 level is still an important reference for the diagnosis of the disease and can be preoperative identification with uterine fibroids.