【摘要】 目的 探讨子宫腺肌病的病因及误诊原因，提高诊断率。方法 收集我市两个县级医院近5年经病理诊断的62例子宫肌腺病患者的临床资料，进行回顾性研究。结果 62例中有痛经史者39例(62.9%)，月经不调48例(77.4%)，有妇科手术史者43例，21例合并子宫肌瘤，有35例(56.5%)术前临床诊断为子宫肌瘤，仅9例术前诊断为子宫腺肌病，正确率仅为14.5%。结论 医源性子宫内膜异位可能是重要的发病因素之一，早期诊断本病需要结合病史、临床表现及辅助检查等进行综合分析判断。

    【关键词】 子宫腺肌病；诊断；误诊

    The clinical analysis of adenomyosis in 62 cases

    HUANG Qian,SHAO Fang-yi,GAO Jin-hua,et al.Maternity and Child Care Hospital of Hulan District,Harbin 150010,China

    【Abstract】 Objective To investigate the etiology and misdiagnostic cause of adenomyosis to raise the diagnostic accuracy.Methods The clinical materials of 62 cases of adenomyosis confirmed by pathology were analyzed retrospectively in our department in recent 5 years.Results 39 cases(62.9%) of hysterectomy had dysmenorrhea in 62 cases of adenomyosis,48(77.4%) had irregular menses,21 cases were complicated with hysteromyoma,and 43 cases underwent of gynecological operation.9 cases were diagnosed as adenomyosis preoperatively with diagnostic accuracy of 14.5%.Conclusion Iatrogenic endometriosis may be one of the important causes of adenomyosis which can be diagnosed preoperatively by the clinical features of adenomyosis,physical check and accessory examinations. ......