46例子宫腺肌病临床病理分析

目的：探讨子宫腺肌病误诊的原因，提高临床诊断准确率。方法：分析46例子宫腺肌病的临床和病理资料。结果：46例子宫腺肌病中痛经25例（54．35％），月经异常31例（67．39％），子宫增大43例（93．48％），术前诊断子宫腺肌病24例，临床与病理诊断符合率52．17％，B超诊断腺肌病22例，与病理诊断符合率47．82％，结论：临床，病理及其它技术部门的密切配合，能提高子宫腺肌病的临床诊断水平。

The Clinical and Pathological Analysis of 46 cases of Adenomysis

Objective To investigate the cause of misdiagnosis of adenomyosis,and raise the diagnosis accuracy. Methods The clinical and pathological data of 46 patients with adenomyosis was analysed. Results Among 46 cases of adenomyosis, there have dysmenorrhea in 25 cases (54. 35 % ), menstrual abnormal in 31 cases(67. 39 % ), and uterus enlarged in43 cases(93. 48 % ). The coincidence rate of clinical diagnosis with pathological diagnosis is 52. 17 %, 22 cases were diagnosed by B - ultrasonogrphy, the coincidence rate with pathological diagnosis is 47. 83 %. Conclusion Clinical,pathological and other technical department need cooperation, the clinical diagnosis level of adenomyosis can be improved.