目的:提高子宫腺肌病术前诊断的准确率.方法:分析98例患者发病年龄、临床表现和B超的检查结果.结果:发病年龄35 -54岁,占63.26％；痛经者58例,占59.18％；月经紊乱或增多者72例,占73.41％；妇科检查:子宫增大者83例,占84.69％,B超术前诊断74例,符合率75.51％.结论:根据患者发病年龄、月经紊乱或经量增多,痛经呈进行性加重,结合妇科检查及B超检查可提高子宫腺肌病的诊断水平.%Objective: To improve the diagnostic accuracy in adenomyosis. Method; The age, clinical manifestation, and B ultrasonography were analyzed in 98 patients with adenomyosis. Result: The majority ofthe cases were at 35-54 years old (63. 26% ). The incidence of dysmenorrhea was 59. 18% (58 cases) , menstrual disorder or menorrhagia was 73.46% (72 cases) ,uterine enlargement discovered by palpation was 84.69% (83 cases). The accurate rate in diagnosis by B ultrasonography was 75.51% (74 cases). Conclusion; The accurate rate in diagnosis of adenomyosis could be improved by taking account of age,progressive dysmenorrhea, menstrual disorder, menorrhagia and B ultrasonography.
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