【摘要】 目的 对310例子宫腺肌病与子宫肌瘤患者进行临床相关及对比分析，以利于指导临床治疗与诊断。方法 回顾性分析了310例子宫腺肌病与子宫肌瘤的临床资料。结果 两者大多数见于30～50岁生育年龄的妇女(P>0.05)。而与子宫肌瘤相区别的是，子宫腺肌病的临床表现为痛经、盆腔深部痛或性交痛，盆腔检查子宫增大多<2个半月，活动度差，后穹隆有触痛，血清CA125增高，术前误诊率高。两者相比

    ，差异有显著性(P<0.05)。结论 二者共同的发病因素可能是高雌激素刺激。术前诊断子宫腺肌病应在结合病史、临床症状及盆腔检查的同时，结合B超、血清CA125测定等检查，进行综合判断。

    【关键词】 子宫腺肌病；子宫肌瘤；发病因素

    Analysis on the clinical related factors and comparison of adenomyosis and uterine myoma

    YU Ling.

    Department of Obstetrics and Gynecology, West Hospital of Shandong Provincial Hospital,Jinan 250022，China

    【Abstract】 Objective To investigate the clinical related factors and comparison of adenomyosis and uterine myoma so as to elevate the accuracy of clinical diagnosis and treat.Methods Retrospectively analysis clinical date from 310 cases of adenomysis and uterine myoma.Results The majority of two groups' patients are 30 to 50 years of age(P>0.05). There are statistically significant changs in dysmenorrhea,pelvic pain and dyspareunia, accretion<10w,severe symptoms,serum CA125,accu ......