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目的:提高子宫腺肌病(Adenomyosis,AD)的临床诊断准确率。方法:对1 133例子宫切除标本进行病理检查,确诊AD 237例。活检标本采用石蜡切片,H-E染色,光镜检查。结果:237例中,病理组织学诊断为单纯AD 127例(53.59%),合并子宫肌瘤95例(40.08%),合并子宫内膜异位症41例(17.30%),合并卵巢肿瘤24例(10.13%),合并子宫内膜单纯增生28例(11.81%),合并单纯内膜息肉16例(6.75%)。结论:对本病应结合临床表现、B超检查、病理诊断等综合判断以提高对本病的诊断率。
Objective: To improve the accuracy of clinical diagnosis of adenomyosis (Adenomyosis). Methods: A total of 1,133 cases of hysterectomy were examined by pathology and AD 237 cases were confirmed. Biopsy specimens using paraffin sections, H-E staining, light microscopy. Results: Among the 237 cases, 127 cases (53.59%) were diagnosed by pathology, 95 cases (40.08%) had uterine fibroids, 41 cases (17.30%) had endometriosis, 24 cases had ovarian tumors (10.13%). There were 28 cases (11.81%) with endometrial hyperplasia and 16 cases (6.75%) with endometrial polyps. Conclusion: This disease should be combined with clinical manifestations, B-ultrasound, pathological diagnosis and other comprehensive judgment to improve the diagnosis of the disease.