子宫腺肌病与子宫肌瘤的临床比较..docVIP

子宫腺肌病与子宫肌瘤的临床比较 】目的探讨子宫腺肌病与子宫肌瘤的临床特点 提高对于子宫腺肌病术前诊断率。方法以5年来妇产科子宫 切除术后病理证实为子宫腺肌病的130例为A组；并随机选 择同期子宫切除术后病理证实的子宫肌瘤患者150例为B组 对2组患者年龄分布、既往史、临床症状、术前诊断，B超检 查、血清CA125水平进行比较。结果2组患者均好发于生育 年龄妇女，常有月经过多或经期延长(P)。子宫腺肌病术前 诊断率(%)，出现痛经(%)、性交痛较多(%)，但继发性贫血 少(%);具有特征性的超声表现；血清CA1 25(±)U/ml，水平 明显升高。结论子宫腺肌病诊断的金标准是病理诊断，但其 既往史、特有症状、B超改变、血清CA125水平增高仍是诊 断该病的重要参考指标，并可与子宫肌瘤进行术前鉴别。 关键词】子宫腺肌病；子宫肌瘤；诊断，鉴别 AbstractbjectiveToinvestig Abstract bjectiveToinvestig atedifferencesinclicsofadenomyosisan oimprovepreoperati 30casesofadenomyos logicalexamination npast5yearsandl50c conf irmedbypatholoinicalcharacterist dhysteromyomasoast vediagnosisrateof1 i sconf irmedbypatho afterhysterectomyi asesofhysteromyoma gicalexaminationaf atedifferencesincl icsofadenomyosisan oimprovepreoperati 30casesofadenomyos logicalexamination npast5yearsandl50c conf irmedbypatholo inicalcharacterist dhysteromyomasoast vediagnosisrateof1 i sconf irmedbypatho afterhysterectomyi asesofhysteromyoma gicalexaminationaf terhysterectomyint hesameperiodwerera ndomlyselectedandt hEiragedistributio n,pasthistory,cl in icalsymptoms,preop erativediagnosis,u ltrasonographicfin dingsandserumlevel ofCA125werecompare d. ResultsBoththedi seaseswerecommonly seeninwomenofchild bearingageandthecl inicalmanifestatio nsofthepatientswer ehypermenorrheaorp rolongedmenstrualp eriod (Nodifference betweenthetwogroup s,P). Thepreoperat ivediagnosisrateof adenomyos i swas%,an dthepatientswithad enomyosisusuallysu fferedfromdysmenor rhea (%),dyspareuni a (%)andseldomsecon daryanemia(%). Ultr asonographicexamin ationshowedsomecha racteristicfinding sandtheserumlevelo fCA125( 土 /ml)increa sedThoughthegolden standardofdiagnosi sofadenomyosisispa thologicdiagnosis, thepasthistory,spe cificclinicalsympt oms,ultrasonograph icfindings,andelev atedserumCA1251eve 1arealsoimportantr  eferenceindexestodifferentiat eadenom eferenceindexestod ifferentiat eadenom yosiswithhysteromy omabeforeoperation . Keywords ] Adenom yosis； Hysteromyoma ； Diagnosis, differe ntial