子宫腺肌症228例的临床分析

目的探讨子宫腺肌症的发病因素与诊治方法。方法对228例子宫腺肌症临床资料进行回顾性分析。结果人流史占57%,妊娠3次以上占67.5%。 B超诊断率42.5%。对于简单的子宫腺肌症,腹腔镜手术的术中出血量和术后住院天数小于开腹手术,两者有显著性差异。结论发病与多次妊娠,宫腔操作及雌激素有关。目前仍需通过病史,临床症状体征结合辅助检查如B超或阴道B超进行诊断。对于简单的子宫腺肌症,腹腔镜手术疗效好。

CLINICAL ANALYSIS OF 228 CASES OF ADENOMYOMATOSIS OF UTERUS

Objective: To investigate pathogenic factors and diagnosis as well as therapeutic measures of adenomy- omatosis of utenis. Method: Underwent retrospective analysis of the clinic data of 228 cases of adenomyomatosis of uterus. Results: History of artificial abortion account for 57%,pregnancy three times and more account for 67.5%. B ultrasound diagnosis rate 42.5%.For simple adenomyomatosis of utenis, the bleeding volume and post operative hospitalization days in the cases of celioscope operation is less than the cases of open abdominal operation,the difference is significant. Conclu- lion: Pathogenesis is related to multiple pregnancy, intra-uterus operation, and estrogen. At present, this ill must be di- agnosed via patient history, clinical symptoms and signs associated with B ultrasound or vagina B ultrasound inspection. For simple adenomyomatosis cehoscope operation achieve good effect.