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子宫腺肌症228例的临床分析 被引量:3

Clinical Analysis of 228 Cases of Adenomyomatosis of Uterus
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摘要 目的探讨子宫腺肌症的发病因素与诊治方法。方法对228例子宫腺肌症临床资料进行回顾性分析。结果人流史占57%,妊娠3次以上占67.5%。 B超诊断率42.5%。对于简单的子宫腺肌症,腹腔镜手术的术中出血量和术后住院天数小于开腹手术,两者有显著性差异。结论发病与多次妊娠,宫腔操作及雌激素有关。目前仍需通过病史,临床症状体征结合辅助检查如B超或阴道B超进行诊断。对于简单的子宫腺肌症,腹腔镜手术疗效好。 Objective: To investigate pathogenic factors and diagnosis as well as therapeutic measures of adenomy- omatosis of utenis. Method: Underwent retrospective analysis of the clinic data of 228 cases of adenomyomatosis of uterus. Results: History of artificial abortion account for 57%,pregnancy three times and more account for 67.5%. B ultrasound diagnosis rate 42.5%.For simple adenomyomatosis of utenis, the bleeding volume and post operative hospitalization days in the cases of celioscope operation is less than the cases of open abdominal operation,the difference is significant. Conclu- lion: Pathogenesis is related to multiple pregnancy, intra-uterus operation, and estrogen. At present, this ill must be di- agnosed via patient history, clinical symptoms and signs associated with B ultrasound or vagina B ultrasound inspection. For simple adenomyomatosis cehoscope operation achieve good effect.
作者 何茜冬
机构地区 中山市人民医院
出处 《现代医院》 2002年第5期9-10,共2页 Modern Hospitals
关键词 子宫腺肌症 发病因素 诊断 治疗 Adenomyomatosis of uterus Pathogenic factors Diagnosis Therapy
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  • 1[2]Seidman JD, Kjerulff KH. Pathologic finding from the maryland women' s health study: practice patterns in the diagnosis of adenomyosis. Int J Gynecol Pathol, 1996,15:217 - 221.
  • 2[3]Jonathen S Berek, Eli Y Adash, Paula A Hiilard. Novak's Gynecologic Pathology. 12ed. NY. 1996, WB Saunders Comp, 536- 538.
  • 3[1]乐杰,主编.妇产科学.第五版.北京:人民卫生出版社,2001. 387 - 395
  • 4胡晓霞.子宫腺肌症的诊治进展[J].医学文选,1999,18(1):98-100. 被引量:10

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