子宫腺肌病的特殊类型及恶变的诊治

Diagnosis and treatment of the special types and malignant transformation of adenomyosis

子宫腺肌病(adenomyosis,AM)以痛经、月经量增多、慢性盆腔痛及不孕等为主要临床表现。有囊性子宫腺肌病及子宫腺肌病恶变等少见特殊情况,易导致临床误诊。治疗方法由患者年龄、症状、有无生育要求、病变部位及范围决定,常需要以手术为主的多种治疗方式结合运用,才能达到缓解症状和延缓复发的效果。

Adenomyosis（AM）is characterized clinically by dysmenorrhea,increased menstrual volume and chronic pelvic pain.Cysticadenomyosis and malignant transformation of adenomyosis were rare types of adenomyosis,which is likely to be clinically misdiagnosed.Treatment should be based on the age,symptoms,pathological changes,fertility requirements,and extent of lesion.Combination of a variety of treatments should be used to improve the surgical curative effect and relieve symptoms and postpone the recurrence.