| 子宫腺肌症的临床诊断及治疗(附331例分析) |
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| 引用本文： | 钟刚,何福仙,刘丽江,郑红兵. 子宫腺肌症的临床诊断及治疗(附331例分析)[J]. 华中科技大学学报(医学版), 2002, 31(2): 195-197 |
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| 作者姓名： | 钟刚 何福仙 刘丽江 郑红兵 |
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| 作者单位： | 华中科技大学同济医学院附属同济医院妇产科,武汉,430030 |
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| 摘 要： | 对1985年1月至1994年12月间331例子宫腺肌症患者的有关临床和病理资料进行回顾性分析。子宫腺肌症的发生率为11．95％，并呈逐年上升趋势。临床特征性症状是痛经（67．1％），月经异常（73．4％）；子宫小于孕3大小（94．6％）。病变多呈弥漫性分布，以子宫后壁多见。术前诊断率36．4％，误诊率38．4％，漏诊率25．4％；B超诊断符合率28．2％。治疗以手术为主，对年轻或要求生育者及局限性子宫病灶，可行保守性病灶切除术。
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| 关 键 词： | 子宫腺肌症 临床诊断 治疗 症状 病例分析 |
Clinical Diagnosis and Treatment of Uterine Adenomyosis -A Report of 331 Cases |
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| Zhong Gang,He Fuxian,Liu Lijiang et al. Clinical Diagnosis and Treatment of Uterine Adenomyosis -A Report of 331 Cases[J]. Journal of Huazhong University of Science and Technology(Health Sciences), 2002, 31(2): 195-197 |
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| Authors: | Zhong Gang He Fuxian Liu Lijiang et al |
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| Affiliation: | Zhong Gang,He Fuxian,Liu Lijiang et al Department of Obstetrics and Gynecology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030 |
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| Abstract: | Clinical findings and histopathological features of 331 patients with adenomyosis from Jan. 1985 to Dec. 1994 were retrospectively analyzed. The incidence of uterine adenomyosis was 11.95 % and showed an increased tendency. Clinical diagnostic symptoms were dysmenorrhoe (67.1 %), abnormal uterine bleeding (73.4 %). Diffuse thickening of uterine thickening was often seen. Preoperative diagnosticrate, misdiagnosis rate and missed diagnosis rate was 36.2 %, 38.4 % and 25.4 % respectively. Pelvic sonography provided an accurate diagnosis of adenomyosis in the 28.2 % of cases. Optimal treatment was hysterectomy. Conservative surgery has proven to be effective in yonger patients with local adenomyosis and wish to have children. |
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| Keywords: | uterine adenomyosis case study |
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