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目的 :通过分析子宫腺肌症临床资料,探讨子宫腺肌症相关病发因素,总结临床经验。方法 :回顾分析泰山医学院附属医院于2015年1月至2015年12月接收治疗的60例子宫腺肌症患者病情资料。结果:60例患者中,有46例年龄在30-50岁占总病例人数的76.7%。患者中,主要临床表现为痛经(71.7%)、月经异常(65.0%)、子宫增大(96.7%),诊断为子宫腺肌症53例,诊断符合率88.3%,B超诊断符合率85.0%,治疗过程中22例(36.7%)采用药物治疗,38例(63.3%)采用手术治疗,其中有5例(8.3%)进行子宫病灶清除术,其余均进行子宫切除术。手术治疗患者中,术前全部进行了药物治疗。结论 :子宫腺肌症临床症状表现为痛经和月经异常,目前治疗方法主要为手术,药物治疗效果有限。
Objective: To analyze the clinical data of adenomyosis, explore the related factors of adenomyosis and summarize the clinical experience. Methods: A retrospective analysis of the Taishan Medical College Hospital from January 2015 to December 2015 receiving treatment of 60 cases of adenomyosis patients with disease information. Results: Of the 60 patients, 46 were aged 30-50 years old, accounting for 76.7% of the total number of cases. Among the patients, the main clinical manifestations were dysmenorrhea (71.7%), abnormal menstruation (65.0%), enlarged uterus (96.7%), adenomyosis (53.3%), diagnostic coincidence rate of 88.3% 22 cases (36.7%) were treated with drugs during the course of treatment, and 38 cases (63.3%) were treated by surgery. Among them, 5 cases (8.3%) underwent uterine debridement and the others underwent hysterectomy. Surgical treatment of patients, all preoperative medication. Conclusion: The clinical manifestations of adenomyosis are dysmenorrhea and abnormal menstruation. At present, the main treatment methods are surgery, and the effect of drug therapy is limited.