198例子宫腺肌病患者临床表现分析.docVIP

198例子宫腺肌病患者的临床表现分析 　　 　　 　　[摘要] 目的 探讨子宫腺肌病患者的临床表现与病灶大小是否有关系。 方法 回顾性分析本院198例因子宫腺肌病行手术治疗患者的临床资料，研究患者临床表现及生育史与子宫腺肌病病灶大小是否有关系。 结果 不同年龄组中患者痛经及不孕症发生率差异有统计学意义（P0.05）。198例患者中有生育史173例，占87.37%；有分娩史123例，占62.12%；有人工流产史148例，占74.74%；有2次及2次以上人工流产史83例，占41.91%。病灶大小与孕次、产次及人工流产次数无明显相关性（P0.05）。 结论 年轻患者痛经及不孕症发生率较高，病灶范围越大痛经发生率越高；子宫腺肌病病灶大小与不孕症发生无相关性；妊娠和分娩次数的多少与子宫腺肌病病灶大小及严重程度无明显相关性。 　　[关键词] 子宫腺肌病；临床表现；病灶 　　[中图分类号] R711.74[文献标识码] A[文章编号] 1674-4721（2014）05（c）-0058-03 　　 　　Analysis of clinical manifestation of adenomyosis in 198 patients 　　LIU Ting-ting ZHENG Ming-kang 　　Zhuhai City Maternity and Child Health Hospital of Guangdong Province,Zhuhai 519000,China 　　[Abstract] Objective To investigate relationship between clinical manifestation of adenomyosis and lesion size. MethodsClinical data of 198 patients with adenomyosis undergoing surgery were retrospectively analyzed.The relationship between clinical manifestation,childbearing history and the adenomyosis lesion size was studied. Results Incidence rates of dysmenorrheal and infertility were significantly different among different age groups (P0.05).Among the 198 patients,173 cases (87.37%) had been pregnant,123 cases (62.12%) had delivered babies,148 (74.74%) had received induced abortion,83 cases (41.91%) had induced abortion more than once.The lesion size had no relationship with gravidity,parity and induced abortion times (P0.05). Conclusion The incidence rates of dysmenorrheal and infertility are higher in the younger patients.The greater the lesion size,the higher the incidence rate of dysmenorrheal.There is no significant difference between the lesion size and infertility.Gravidity and parity have no significant relationship with adenomyosis lesion size and severity. 　　[Key words] Adenomyosis;Clinical manifestation;Lesions 　　子宫腺肌病是指子宫内膜腺体和间质向子宫肌层良性浸润生长[1]。子宫腺肌病好发于30～50岁的育龄期妇女，国外报道发病率为8.8%～31.0%[2]，国内报道发病率为13.4%[3]，为妇科常见病，常合并有子宫内膜异位症（EMT）和子宫肌瘤[4]。临床主要表现为月经量增多（40%～50%），逐渐加剧的进行性痛经（25%）[1]以及不孕[5]（国内报道不孕率约为40.00%[6]）等。本研究回顾性