198例子宫腺肌病患者的临床表现分析  

Analysis of clinical manifestation of adenomyosis in 198 patients

作　　者：刘婷婷[1] 郑明康[1] 

机构地区：[1]广东省珠海市妇幼保健院,广东珠海519000

出　　处：《中国当代医药》2014年第15期58-60,共3页China Modern Medicine

摘　　要：目的探讨子宫腺肌病患者的临床表现与病灶大小是否有关系。方法回顾性分析本院198例因子宫腺肌病行手术治疗患者的临床资料,研究患者临床表现及生育史与子宫腺肌病病灶大小是否有关系。结果不同年龄组中患者痛经及不孕症发生率差异有统计学意义(P<0.05),年轻患者的痛经及不孕症发生率均较高,而≥41岁患者两者发生率均较低。病灶大小不同痛经发生率差异有统计学意义(P<0.05),病灶范围越大痛经发生率越高。不孕症的发生与病灶大小无明显相关性(P>0.05)。198例患者中有生育史173例,占87.37%;有分娩史123例,占62.12%;有人工流产史148例,占74.74%;有2次及2次以上人工流产史83例,占41.91%。病灶大小与孕次、产次及人工流产次数无明显相关性(P>0.05)。结论年轻患者痛经及不孕症发生率较高,病灶范围越大痛经发生率越高;子宫腺肌病病灶大小与不孕症发生无相关性;妊娠和分娩次数的多少与子宫腺肌病病灶大小及严重程度无明显相关性。Objective To investigate relationship between clinical manifestation of adenomyosis and lesion size. Meth- ods Clinical data of 198 patients with adenomyosis undergoing surgery were retrospectively analyzed.The relationship between clinical manifestation,childbearing history and the adenomyosis lesion size was studied. Results Incidence rates of dysmenorrheal and infertility were significantly different among different age groups （P〈0.05）.The incidence rates were higher in the younger patients,while they were lower in the patients over 41 years.There was a significant dif- ference in the incidence rate of dysmenorrheal among patients with different lesion sizes （P〈0.05）.The greater the lesion size,the higher the incidence rate of dysmenorrheal.There was no significant difference between the incidence of infer- tility and the lesion size （P〉0.05）.Among the 198 patients,173 cases （87.37%） had been pregnant,123 cases （62.12%） had delivered babies,148 （74.74%） had received induced abortion,83 cases （41.91%） had induced abortion more than once.The lesion size had no relationship with gravidity,parity and induced abortion times （P〉0.05）. Conclusion The in- cidence rates of dysmenorrheal and infertility are higher in the younger patients.The greater the lesion size,the higher the incidence rate of dysmenorrheal.There is no significant difference between the lesion size and infertility.Gravidity and parity have no significant relationship with adenomyosis lesion size and severity.

关 键 词：子宫腺肌病 临床表现 病灶 

分 类 号：R711.74[医药卫生—妇产科学]