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目的探讨子宫腺肌病与子宫肌瘤的临床特征及血清CA125水平,提高术前诊断率。方法对比分析21例子宫腺肌病患者和27例子宫肌瘤患者的临床资料。结果两组患者发病年龄及临床表现相近,但子宫腺肌病的痛经症状明显(P<0.05)。B超诊断率及子宫增大子宫肌瘤组显著高于子宫腺肌病组,两组比较统计学有明显差异(P<0.01)。子宫腺肌病组血清CA125水平显著高于子宫肌瘤组(p<0.01)。结论子宫腺肌病和子宫肌瘤可依靠临床表现及B超的所见来鉴别诊断。血清CA125水平的测定对提高子宫腺肌病术前诊断率有一定价值。
Objective To investigate the clinical characteristics of adenomyosis and uterine fibroids and serum CA125 levels and improve the preoperative diagnosis rate. Methods The clinical data of 21 patients with adenomyosis and 27 patients with uterine fibroids were analyzed. Results The onset age and clinical manifestations of both groups were similar, but dysmenorrhea symptoms of adenomyosis were obvious (P <0.05). The diagnostic rate of B-ultrasound and uterine enlargement of uterine fibroids group was significantly higher than that of adenomyosis group (P <0.01). Serum CA125 level in adenomyosis group was significantly higher than that in uterine fibroid group (p <0.01). Conclusion Adenomyosis and uterine fibroids can rely on the clinical manifestations and B-ultrasound to differentiate the diagnosis. Determination of serum CA125 levels to improve the preoperative diagnosis of adenomyosis has a certain value.