中国实用妇科与产科杂志2025，Vol.41Issue(8)：784-790,7.DOI:10.19538/j.fk2025080104
子宫腺肌病相关疼痛的诊治及管理
Diagnosis,treatment and management of adenomyosis-associated pain
摘要
Abstract
Pain is one of the main clinical manifestations of adenomyosis.The pathogenesis of adenomyosis-associated pain is complex,involving multiple interrelated mechanisms.Ultrasound and magnetic resonance imaging play crucial roles in diagnosis and typing of adenomyosis.Currently,there is no consensus on typing and pain characteristics across different types.Exogenous pain may have more obvious symptoms,and responds well to progesterone treatment.Hysterectomy serves as the radical treatment.For patients desiring uterine preservation,lesion excision,endometrial ablation,or minimally invasive or non-invasive treatment may be alternatives.The long-term management requires making individualized strategies based on the patient's age,fertility demand,symptom severity and lesion characteristics.关键词
子宫腺肌病/疼痛/药物治疗/手术治疗/介入治疗Key words
adenomyosis/pain/medical therapy/surgical treatment/interventional therapy分类
医药卫生引用本文复制引用
黄艳,彭超,周应芳..子宫腺肌病相关疼痛的诊治及管理[J].中国实用妇科与产科杂志,2025,41(8):784-790,7.基金项目
国家重点研发计划(2022YFC2704004) National Key Research and Development Program of China(2022YFC2704004) （2022YFC2704004）
