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研究背景］子宫腺肌病的发生率有上升趋势，而本病术前临床误诊率较高．［病例报告］５１例子宫腺肌病患者均经手术及病理证实，其中月经量增多２３例，经期延长１９例，周期明显缩短７例，周期紊乱５例，月经无改变１５例，痛经３０例，无症状９例；子宫增大４７例，子宫正常大小４例，子宫表面凹凸不平１６例，子宫均匀性增大３１例，质硬３９例，附件触及包块１１例．临床诊断与病理诊断的符合率为４１％（２１／５１），误诊率为５９％（３０／５１）；Ｂ型超声波诊断与病理诊断的符合率为２３％（１２／５１），而误诊率高达７６％（３９／５１）．［讨论］子宫肌瘤是最易与子宫腺肌病混淆的疾病之一，认真鉴别二者是提高子宫腺肌病术前诊断符合率的关键
Research Background] The incidence of adenomyosis has an upward trend, while the clinical misdiagnosis of the preoperative high rate. [Case Report] 51 cases of adenomyosis were confirmed by surgery and pathology, of which 23 cases of menstrual increase, 19 cases of menstrual extension, significantly shorter cycle of 7 cases, 5 cases of cycle disorders, menstruation without change in 15 cases, 30 cases of dysmenorrhea , Asymptomatic in 9 cases; enlarged uterus in 47 cases, normal uterine size in 4 cases, uterine surface irregularities in 16 cases, uterine homogeneity increased in 31 cases, hard in 39 cases, appendix involving mass in 11 cases. The coincidence rate of clinical diagnosis and pathological diagnosis was 41% (21/51), and the misdiagnosis rate was 59% (30/51). The coincidence rate of type B ultrasonic diagnosis and pathological diagnosis was 23% (12/51) Up to 76% (39/51). [Discussion] Uterine fibroids is the most easily confused with adenomyosis one of the diseases, careful identification of both are the key to improve the preoperative diagnosis of adenomyosis coincidence rate