子宫腺肌病与子宫肌瘤的临床对比分析

目的探讨子宫腺肌病与子宫肌瘤的临床区别 ,以提高术前诊断率。方法选择 42例子宫腺肌病患者和 5 7例子宫肌瘤患者为研究对象 ,并对发病年龄、临床表现、B超结果及血清CA12 5、CA199水平进行比较。结果两组患者发病年龄及临床表现相近 ,但子宫腺肌病痛经症状明显 (P <0 0 1) ,B超有特征性改变 ,血清CA12 5水平明显升高 ,阳性率为 78 5 7% ,显著高于子宫肌瘤 (阳性率为 5 2 6% ) (P <0 0 5 ) ,而两组CA199水平无统计学意义 (P >0 0 5 )。结论鉴别子宫腺肌病和子宫肌瘤主要依靠临床表现及B超所见 ,测定血清CA12 5水平对鉴别诊断有一定参考价值。

Comparison between clinical characteristics of adenomyosis and hysteromyoma

Objective To investigate the differences in clinical characteristics between adenomyosis and hysteromyoma so as to improve the preoperative diagnosis of adenomyosis. Methods 42 cases of adenomyosis and 57 cases of hysteromyoma were selected. A comparative study was conducted over their ages of the onset, clinical manifestations, results of ultrasound B and levels of serum CA125, and CA199. Results The two groups of patients were similar in ages of onset and clinical manifestations. However, dysmenorrhea was more prominent in the group of adenomyosis than in hysteromyoma with a statistically significant difference(P<0.01). In adenomyosis, the level of serum CA125 was increased evidently and the positive rate was 78.57%, much higher than that in hysteromyoma (5.26%,P<0.05); ultrasonography showed some characteristic pictures. There was no statistically significant difference in serum level of CA199 between adenomyosis and dysmenorrhea(P>0.05). Conclusions The differentiation of adenomyosis with hystermyomas was basically dependent on clinical manifestations and the imaging of ultrasonography B. Detection of serum CA125 was certainly valuable to differential diagnosis between adenomyosis and hysteromyomas.