子宫与腺肌症的临床病理特点及手术指征分析.docVIP

子宫腺肌症的临床病理特点及手术指征分析 【摘要】目的：。方法：。结果：。结论：[Abstract] Objective: To investigate clinical pathological characteristics and operation indications about the adenomyosis. Methods: The clinical data were collected about 121 cases of patients with adenomyosis from December 2009 to July 2013, and they were analyzed retrospectively, including patient clinical characteristics and operation indication and so on. Results: The incidence of patients with adenomyosis was 40.3% in the uterine benign tumor at the same time, and its clinical performances were mainly related to dysmenorrhea and increased quantity of menstrual. In addition, the most common of pathological features was endometrial hyperplasia with the percentage about the types being 36.4%, followed by the merger of uterine fibroids, about which the percentage was 29.8%. What is more, for the patients those who adenomyosis was in serious condition, and no fertility requirements, it was essential for the implementation of hysterectomy. Conclusion: In recent years, the incidence rate of uterine adenomyosis was increased, and they own characteristics about the disease in the clinical symptoms, signs, pathology and surgical indications. Therefore, it should be given enough attention, which is conducive to the accurate diagnosis rate and cure rate. Keywords: adenomyosis; pathological features; operation indications; 作为临床妇科上一种较为常见的良性肿瘤，子宫腺肌症发病主要是由于子宫内内膜腺体和间质细胞浸润子宫肌层，该疾病是一种激素依赖性疾病，其发病人群多以育龄期妇女为主[1]。临床流行病学研究结果表明，子宫腺肌症发病率逐年上升，且趋势明显，而目前临床上对于该疾病的诊断与治疗仍存在漏诊和手术方法选择不当等现象。因此，提高疾病的诊断率以及合适手术方法的选择，对于患者病情的康复具有重要意义[2]。为了探讨子宫腺肌症的临床病理特点以及手术指征，本文收集我院在2009年12月至2013年7月期间手术治疗的121例子宫腺肌症患者的临床资料，并对其进行回顾性分析，主要包括患者的临床病例特点以及手术指征等。1. 资料与方法 1.1 资料患者年龄范围在岁至岁内，其平均年龄为(.2 ± 5.6)岁(5.6 ± 1.1)年。 1.2 方法 结果与分析.1 发病率 在2009年12月至2013年7月期间，我院共收治子宫良性肿瘤手术患者300例，其中子宫腺肌症患者人数为121例，占子宫良性肿瘤患者人数百分比为40.3%。 2.2 临床特征 在本组121例子宫腺肌症患者中，其中月经量增多患者有97例，所占百分百分比例为80.2%，而有明显痛经患者有91例，所占百分比例为75.2%，而无痛经患者人数为30例（24.8%）。另外，表现为腰酸痛患者人数为6例，所占百分比例为5.0%。 2.3 病理特点 在本组121例子宫腺肌症患者标