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目的探讨子宫腺肌病的病因及诊治方法。方法对经手术治疗并经病理证实的615例子宫腺肌病进行回顾性分析。结果有进行性痛经者占50.7%,术前经阴道超声检查诊断符合率为70.1%,核磁共振诊断符合率为86.4%,血清CA125浓度高于正常者占64.7%,术前子宫腺肌病诊断准确率为76.1%。行全子宫切除术431例,全子宫及单侧附件切除术138例,全子宫及双侧附件切除术16例,次全子宫切除术19例,子宫腺肌瘤病灶剔除术11例。结论妊娠及宫腔操作可能是子宫腺肌病的诱因之一,经阴道超声及核磁共振检查、血清CA125浓度测定有助于该病的诊断,子宫切除术是根治性手术。
Objective To investigate the etiology and diagnosis and treatment of adenomyosis. Methods A retrospective analysis of 615 cases of adenomyosis confirmed by pathology. The results of progressive dysmenorrhea accounted for 50.7%, preoperative transvaginal ultrasonography diagnosis of coincidence rate of 70.1%, the diagnostic accuracy of magnetic resonance imaging was 86.4%, serum CA125 concentrations higher than the normal accounted for 64.7%, preoperative diagnosis of adenomyosis The accuracy rate is 76.1%. 431 cases of hysterectomy, hysterectomy and unilateral adnexectomy in 138 cases, hysterectomy and bilateral attachment excision in 16 cases, subtotal hysterectomy in 19 cases, adenomyosis lesions in 11 cases. Conclusions Pregnancy and intrauterine operation may be one of the causes of adenomyosis. Transvaginal sonography and magnetic resonance imaging can be used to diagnose the disease. Hysterectomy is a radical surgery.