子宫腺肌病与子宫肌瘤临床对比分析

目的探讨子宫腺肌病与子宫肌瘤的临床特点,提高子宫腺肌病术前诊断率。方法对比分析32例子宫腺肌病与32例子宫肌瘤患者的临床资料。结果两组患者发病年龄和临床症状相近,但子宫腺肌病的痛经症状明显(P<0.01);妇科检查子宫腺肌病的子宫常均匀性增大,且一般增大<12孕周,而宫体压痛明显高于子宫肌瘤(P<0.01);两组B超诊断符合率分别为62.5%,93.8%,有显著差异(P<0.01);子宫腺肌病组血清CA-125值明显升高,阳性率71.4%,子宫肌瘤组14人测定该值,无一例阳性。结论主要症状和仔细的妇科检查是鉴别子宫腺肌病与子宫肌瘤的主要方法;B超、血清CA-125的测定对提高子宫腺肌病术前诊断率有一定价值。

Comparison between clinical characteristics of adenomyosis and hysteromyoma

Objective To explore the clinical characteristics,in order to improve the pre-operation diagnosis rate of adenomyosis.Methods Compare and analyze the clinical information of 32 cases of adenomyosis and 32 cases of hysteromyoma.Results The ages,symptoms and signs of the patients in the two groups were very similar.But dysmenorrhea was more prominent in adenomyosis,this difference was statistically significant(P<0.01).Physical examine of gynecology show that in adenomyosis uterine enlargement was homogeneous and less than the 12 week of pregnancy and uterine body tender was more prominent than hysteromyoma(P<0.01).The accuracy rate of B-ultrasonic are 62.5% and 93.8% to adenomyosis and hysteromyoma.respectively.The difference was also statistically significant(P<0.01).In adenomyosis the level of serum CA-125 rose evidently,the positive rate was 71.4%;in hysteromyoma 14 peahens detection it but PR is 0.(Conclusion)Cardinal symptom and carefully physical examine of gynecology are the main ways for the differentiation of adenomyosis and hysteromyoma;B-ultrasonic and the detection of serum CA-125 are certainly valuable for improvement of the pre-operation diagnosis rate of adenomyosis.