子宫腺肌病临床误诊原因分析

Misdiagnostic cause for adenomyosis interna

目的：通过对子宫腺肌病误诊原因的分析，吸取教训，降低误诊率。方法：回顾性分析我院于1990-2000年收治临床诊断为 “子宫肌瘤”患者1400例。结果：术后病理诊断为单纯子宫肌瘤者730例(52.4%)，子宫肌瘤合并子宫腺肌病者591例(42.2%)，子宫腺疾病者79例(5.6%)。本组病例中有670例“子宫腺肌病”患者被误诊为单纯“子宫肌瘤”，误诊率为47.9%。结论：提高对子宫腺疾病的认识，注意本病临床的不典型性，重视系统检查，就能做出准确诊断，有效避免误诊。

Objective: To sum up experience in clinical diagnosis of adenomyosis interna to decrease its misdiagnostic rate. Methods: We analyzed retrospectively the 1400 cases which had been diagnosed first to be myoma of uterus in our department from 1990 to 2000. Results: Postoperation pathological diagnosis showed myoma of uterus in 730 (52.41%), myoma of uterus with adenomyosis in 591 (42.21%), and adenomyosis in 79 (5.64%). The 670 of the 1400 cases had been misdiagnosed, with the misdiagnosis rate of 47.86%. Conclusion: The adenomyosis is often misdiagnosed as a myoma of uterus. Therefore, to make a correct diagnosis of the illness and avoid the erros, the doctors should pay a special attention to atypical appearances, a systematic examination and increase knowledge in this disease.