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目的:探讨子宫腺肌病与子宫肌瘤的临床特点及B超、实验室检测的价值,提高对子宫腺肌病术前的诊断率。方法:选择52例子宫腺肌病患者和62例子宫肌瘤患者为研究对象,并对其临床症状、妇科检查、B超结果及血清CA125水平进行比较。结果:两组患者发病年龄和临床症状相近,但子宫腺肌病的痛经症状明显(P<0.01);妇科检查子宫腺肌病的子宫常均匀性增大,且一般增大<12孕周,而宫体压痛明显高于子宫肌瘤(P<0.01);两组B超诊断符合率分别为61.5%和93.5%,有统计学差异(P<0.01);子宫腺肌病组血清CA125阳性率80.8%,子宫肌瘤组血清CA125阳性率4.8%,有统计学差异(P<0.01)。结论:综合分析子宫腺肌病与子宫肌瘤的临床表现、妇科检查、B超所见和血清CA125水平有助于提高子宫腺肌病的术前诊断。
Objective: To investigate the clinical characteristics of adenomyosis and uterine fibroids and the value of B-ultrasound and laboratory tests to improve the preoperative diagnosis of adenomyosis. Methods: Fifty-two patients with adenomyosis and 62 patients with uterine fibroids were selected as study subjects and their clinical symptoms, gynecological examination, B-ultrasound results and serum CA125 levels were compared. Results: The onset age and clinical symptoms of both groups were similar, but the symptoms of dysmenorrhea in adenomyosis were obvious (P <0.01). The uterine regularity of adenomyosis in gynecological examination increased and generally increased by <12 gestational weeks, While the Palace tenderness was significantly higher than that of uterine fibroids (P <0.01). The coincidence rates of B ultrasound diagnosis of the two groups were 61.5% and 93.5%, respectively (P <0.01). The positive rate of serum CA125 in adenomyosis 80.8%, the positive rate of serum CA125 in uterine fibroid group was 4.8%, with statistical difference (P <0.01). Conclusion: A comprehensive analysis of the clinical manifestations of adenomyosis and uterine fibroids, gynecological examination, B ultrasound findings and serum CA125 levels help to improve the preoperative diagnosis of adenomyosis.