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目的 :探讨子宫腺肌病误诊原因及近年术前诊断研究进展。方法 :对我院近 10年收治的197例腺肌病患者的临床资料进行回顾性分析。结果 :1990年元月至 1997年 12月 12 8例腺肌病患者术前、术后诊断符合率仅 2 9.7% ,术后误诊、漏诊率达 70 .3% ;1998年元月至 1999年 12月 69例术前经测定血清 CA1 2 5 及宫腔双氧水造影后误诊、漏诊率降为 2 7.5%术前主要误诊为子宫肌瘤或 (和 )子宫内膜异位症。结论 :子宫腺肌病表现无明显特异性 ,仅靠传统的病史、妇科检查和常规 B超不能确诊 ,术前行血清 CA1 2 5 测定及宫腔声学造影 ,并结合临床表现及高分辨 B超等 ,可误诊、漏诊率。
Objective: To investigate the causes of misdiagnosis of adenomyosis and the progress of preoperative diagnosis in recent years. Methods: The clinical data of 197 patients with adenomyosis treated in our hospital for nearly 10 years were analyzed retrospectively. Results: Between January 1990 and December 1997, the coincidence rate of preoperative and postoperative diagnosis of 12 cases of adenomyosis was only 2 9.7%. Misdiagnosis and missed diagnosis rate were 70.3%. From January 1998 to 1999 December 69 cases of preoperative determination of serum CA1 2 5 and uterine cavity after the misdiagnosis of hydrogen peroxide, misdiagnosis rate was 7.5% preoperative misdiagnosed as uterine fibroids or (and) endometriosis. Conclusion: There is no obvious specificity of adenomyosis, only by the traditional medical history, gynecological examination and conventional B-ultrasound can not be diagnosed. Preoperative serum CA1 2 5 determination and uterine cavity angiography, combined with clinical manifestations and high-resolution B- Etc., can be misdiagnosed, misdiagnosis rate.