摘要
目的比较子宫腺肌病与子宫肌瘤的，晦床特征，以提高子宫腺肌病诊断水平。方法比较子宫腺肌病及子宫肌瘤各42例患者的发病情况、年龄分布、主要临床症状、宫腔操作史、妇检、B超图像、癌抗原125等方面的差异。结果两组宫腔操作史、进行性痛经、贫血、子宫增大、有触痛的发生率比较差异均有统计学意义（X2值分别为17．56、56．78、9．56、48．45、39．56，均P〈0．05）；子宫腺肌病组癌抗原125值（67．12±12．45）kIU／L高于子宫肌瘤组（12．56±3．67）kIU／L（t=9．46，P〈0．05）；B超检查图像显示，两组子宫均匀增大经期明显、病灶内条状或点状彩色血流信号散在分布和假包膜形成及界限清楚的发生率比较差异均有统计学意义x2值分别为67．34、43．25、52．23，均P〈0．05）。结论子宫腺肌病·临床表现对诊断具有重要的参考价值，结合B超检测可以提高诊断率。
Objective To compare the clinical features of adenomyosis and uterine myoma, so as to improve the diagnosis level of adenomyosis. Methods Pathogenesis, age distribution, major clinical symptoms, history of intrauterine operation, gynecological examination, B-scan ultrasonic image and carcinoma antigen 125 （CA125） were compared between adenomyosis group （n = 42） and uterine myoma group （n = 42 ）. Results There were statistical differences between two groups in history of intrauterine operation, dysmenorrheal, anemia, uterine enlargement and tenderness （X2 value was 17.56, 56.78, 9.56, 48.45 and 39.56, respectively, all P 〈 0.05）. The value of CA125 of adenomyosis group was higher than that of uterine myoma group （67.12 ±12.45 vs 12.56 ± 3.67） （t = 9.46,P 〈 0. 05 ）. B-scan ultrasonic images indicated that there were significant differences in the incidence of significant uterus enlargement, scattering of intralesional strips or spots of color Doppler signals and pseudocapsule formation and clear boundaries between two groups （X2 value was 67.34, 43.25 and 52.23, respectively, all P 〈 0.05 ）. Conclusion Clinical manifestations of adenomyosis is of great reference value on its diagnosis. The diagnosis rate can be improved when B-ultrasonography is combined.
出处
《中国妇幼健康研究》
2013年第2期263-264,275,共3页
Chinese Journal of Woman and Child Health Research
关键词
子宫腺肌病
子宫肌瘤
临床特征
B超检查
adenomyosis
uterine myoma
clinical features
B-ultrasonography
