PDF(Pubmed)
Abstract：
Cystic adenomyosis is a rare type of adenomyosis. The main clinical manifestation of uterine cystic adenomyoma is severe dysmenorrhoea, and the condition can be diagnosed by relevant clinical examination. The preferred treatment, with a good prognosis, is lesion resection. The clinical data of a patient with uterine cystic adenomyoma recorded at the Third Hospital of Hebei Medical University are reported herein. A 39-year-old female patient presented with tolerable menstrual pain and aggravated dysmenorrhoea, which she had experienced for 4 years, and menorrhagia, which she had had for approximately 1 year. Ultrasound and tumour marker tests suggested abnormalities, and magnetic resonance imaging confirmed a diagnosis of uterine cystic adenomyoma. A hysteroscopy and intrauterine lesion electrocision were performed, and the results of postoperative pathology tests suggested that the endometriosis cysts had returned to normal after the postoperative intervention. The analysis of the clinical manifestations and diagnosis and treatment of uterine cystic adenomyoma can improve the understanding of the disease and reduce the rates of misdiagnosis and missed diagnoses to ensure early detection with timely diagnosis and treatment.
摘要：
囊性子宫腺肌病是一种罕见的子宫腺肌病。子宫囊性腺肌瘤的主要临床表现为重度痛经,可以通过相关的临床检查来诊断。首选的治疗方法，预后良好,是病灶切除。现报告河北医科大学第三医院1例子宫囊性腺肌瘤患者的临床资料。一名39岁的女性患者表现为可耐受的月经疼痛和痛经加重，她已经经历了4年，和月经过多,她已经有大约一年了。超声和肿瘤标志物测试表明异常，磁共振成像证实了子宫囊性腺肌瘤的诊断。进行了宫腔镜和宫内病变电切术，术后病理检查结果提示子宫内膜异位囊肿经术后干预后恢复正常。分析子宫囊性腺肌瘤的临床表现及诊治情况,可提高对本病的认识,减少误诊率和漏诊率,确保早期发现,及时诊断和治疗。
