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弥漫性子宫肥大症术前诊断的探讨

Primary Study the Preoperative Diagnosis of Diffuse Uterus Muscle Hypertrophy
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摘要 目的明确弥漫性子宫肥大症的发病机现与临床特征以提高术前诊断率。方法对我院1990年1月至1997年12月间收治的17例子宫肥大症患者的临床资料进行回顾性分析。并应用形态测定指标进行术前预测肌壁厚度。结果弥漫性子宫肥大症的体征容易与子宫症滑肌疾病、子宫内膜疾病的体征相混淆。本文17例弥漫性子宫肥大症的术前误诊率为88.24%;术前预测子宫肌壁厚度值与术后病检子宫肌壁厚度值完全相等。结论依据子宫出血多、子宫均匀性增大、弥漫性子宫肌壁肥厚且排除其它子宫内膜病变,借助子宫形态测定指标可减少弥漫性子宫肥大症的术前误诊率。 Objective: To define the causese of disease and the clinical manifestation of DUMH, in order to increase the preoperative diagnostic rate. Methods 17 cases diagnosed as Diffuse uterus muscle hypertrophy(DUMH) in our hospital during Jan. 1990 to Dec.1997 were retrospectively analysed. The uterine muscle thickness value was forecasted with the morphometrics guideline. Results it is easy to confuse the clinical manifestation of DUMH With disease of uterine smooth muscle, endometrium. The rate of preoperative misdiagnosis was 88.24% before this text. The uterine muscle thickness value in preoperative forecast was the same as afteroperative examination. Conclusion According as metrorrhagia, uterus uniformity hypertrophy, diffuse uterus muscle hypertrophy, othe endometrium disease should be excluded, recur to the morphometrics guideline, the preoperative misdiagnosis rate of DUMH will be decreased.
作者 刘江萍 车萍
出处 《江西医药》 CAS 2000年第4期207-208,共2页 Jiangxi Medical Journal
关键词 弥漫性子宫肥大症 手术前诊断 误诊率 Diffuse uterus muscle hypertrophy preoperative diagnosis misdiagnosis morphometric guideline differentiation diagnosis
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参考文献4

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