子宫腺肌病是指子宫内膜侵入肌层的良性病变 ,在入侵的子宫内膜腺体和间质周围可见增生的肌纤维 ,以往曾称内在性子宫内膜异位症 [1]。现认为其为独立的子宫疾病 ,是妇科的常见病[2 ] 。近年来 ,此病在诊断方面已取得不少进展 ,笔者结合近期文献综述如下。1　病因病机子宫腺肌 Adenomyosis refers to the endometrial invasion of benign lesions in the muscle layer, in the invasion of endometrial glands and stroma can be seen around the proliferation of muscle fibers, previously known as intrinsic endometriosis [1]. Now that it is an independent uterus disease, is a common gynecological disease [2]. In recent years, the disease has made considerable progress in the diagnosis, the author combines the recent literature review is as follows. 1 etiology and pathogenesis of adenomyosis