临床误诊误治2018，Vol.31Issue(5)：39-42,4.DOI:10.3969/j.issn.1002-3429.2018.05.011
囊性子宫腺肌病误诊为子宫肌瘤三例临床报告
Clinical Analysis of Three Cases of Cystic Adenomyosis Misdiagnosed as Uterine Leiomyoma
摘要
Abstract
Objective To explore the causes and preventive measures of cystic adenomyosis misdiagnosed as uterine leiomyoma. Methods Of 52 patients with cystic adenomyosis,three with misdiagnosed uterine leiomyoma were retrospectively analyzed. Results The misdiagnosis rate in this group was 5.77%. One patient was admitted to hospi-tal because of the prolonged menstrual period and increased menstrual flow for more than one month,and one patient was hospitalized because of prolonged menstruation,increased menstrual flow,and menstrual pain for more than three months. The third patient was admitted due to prolonged menstruation, increased menstrual flow, and increased dys-menorrhea for 15 days. All 3 cases were misdiagnosed as uterine leiomyoma. One patient who underwent subtotal lapa-roscopic hysterectomy was diagnosed as having cystic adenomyosis by pathological examination. Due to the failure in the conservative treatment of uterine leiomyoma,cystic adenomyosis was further confirmed in two patients by serum carbo-hydrate antigen 125 as well as by CT and MRI examination,and focal resection were performed. Three patients were discharged after excellent incision healing. At 6-month follow-up after discharge,the prognosis was favorable. Conclu-sion Given no specific clinical manifestations,cystic adenomyosis is easily misdiagnosed. Clinicians should strengthen their vigilance and learning of professional knowledge,expand their thinking in diagnosis,and analyze the patient's con-dition comprehensively,thereby reducing or avoiding misdiagnosis and mistreatment of cystic adenomyosis.关键词
子宫腺肌病/误诊/平滑肌瘤Key words
Adenomyosis/Misdiagnosis/Leiomyoma分类
医药卫生引用本文复制引用
李友荣,王仲奇..囊性子宫腺肌病误诊为子宫肌瘤三例临床报告[J].临床误诊误治,2018,31(5):39-42,4.基金项目
陕西省社会发展攻关项目(1024k11-01-01-03) （1024k11-01-01-03）
