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目的比较子宫腺肌病与子宫肌瘤患者临床及超声结果,提高子宫腺肌病诊断水平。方法回顾性分析40例子宫腺肌病、90例子宫肌瘤患者的临床资料,对比年龄、子宫肌壁创伤史、临床表现、妇科检查、超声病灶特征、癌抗原125(CA125)等方面上的差异。结果子宫腺肌病组子宫肌壁创伤55.00%、进行性痛经72.50%、子宫增大表面结节感70.00%、有触痛77.50%;CA125(42.28±10.80)kU/L、B超图像子宫均匀增大呈球型80.00%、肌层可见不规则腔隙或小囊样低回声70.00%高于子宫肌瘤组的18.89%、12.22%、8.89%、16.67%、(17.76±9.78)kU/L、12.22%、6.67%;血红蛋白(107.28±12.58)g/L、B超图像包块假包膜形成界限清楚7.50%低于子宫肌瘤组的(93.86±10.56)g/L、77.78%(P<0.05)。结论子宫腺肌病具有其临床特点,应提高综合分析提高诊断水平。
Objective To compare the clinical and ultrasonic findings of patients with adenomyosis and uterine myoma and to improve the diagnosis of adenomyosis. Methods The clinical data of 40 patients with adenomyosis and 90 patients with uterine fibroids were retrospectively analyzed. The age, the history of myometrial wall trauma, clinical manifestations, gynecological examination, features of ultrasonic lesions and CA125 were compared. difference. Results The incidence of uterine muscular wall trauma was 55.00% in adenomyosis group, 72.50% in progressive dysmenorrhea, 70.00% in uterus, and 77.50% in tenderness; CA125 (42.28 ± 10.80) kU / L, (80.00%). There were irregular cavities or hypoechoic hypoechoic 70.00% in myometrium, which were 18.89%, 12.22%, 8.89%, 16.67%, (17.76 ± 9.78) kU / L , 12.22%, 6.67%, hemoglobin (107.28 ± 12.58) g / L, clear boundary of B-mode ultrasonography was 7.50%, lower than that of hysteromyoma group (93.86 ± 10.56) g / L and 77.78% <0.05). Conclusion Adenomyosis has its clinical features, should improve the comprehensive analysis to improve the diagnostic level.