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子宫腺肌病的发生率有逐年升高的趋势,但临床误诊率一直较高。本研究回顾我院78例子宫腺肌病的临床资料,分析误诊原因,以期提高临床诊断准确率。 1 资料与方法 1.1 研究对象:以1995年4月～1999年10月在我院行子宫切除术(子宫全切术74例,子宫次全切除术4例),术后病理诊断为子宫腺肌病的患者78例为研究对象,术后病理诊断标准按陈志年等标准进行评定。 1.2 发病情况:78例患者中,年龄30～52岁,平均42.5岁,有生育史者76例(97.4％),原发不孕2例,继发不孕5例,有剖宫产史者10例(12.8％),有人工流产史者62例(79.5％),置宫内节育器者
The incidence of adenomyosis has a trend of increasing year by year, but the clinical misdiagnosis rate has been higher. This study reviewed 78 cases of adenomyosis in our hospital clinical data, analysis of misdiagnosis reasons, in order to improve the accuracy of clinical diagnosis. 1 Materials and Methods 1.1 Study: April 1995 ~ October 1999 in our hospital hysterectomy (hysterectomy 74 cases, subtotal hysterectomy in 4 cases), postoperative pathological diagnosis of adenomyosis 78 cases of sick patients as the research object, postoperative pathological diagnostic criteria according to Chen Zhijian criteria for evaluation. 1.2 Incidence: 78 patients, aged 30 to 52 years, mean 42.5 years, 76 cases of reproductive history (97.4%), 2 cases of primary infertility, 5 cases of secondary infertility, history of cesarean section 10 cases (12.8%), 62 cases of artificial abortion history (79.5%), IUD