摘要
目的探讨囊性子宫腺肌病误诊为子宫肌瘤的原因及防范措施。方法对囊性子宫腺疾病90例中5例曾误诊病例的临床资料进行回顾性分析。结果本组误诊率5.56%。4例因经期延长、经量增多和经期疼痛入院,1例因经期延长、经量增多入院。5例就诊初期均误诊为子宫肌瘤,误诊时间3～10(5.26±2.36)d。5例均经MRI和(或)术后病理学检查确诊为囊性子宫腺肌病,3例行子宫腺肌病病灶切除术,2例行腹腔镜下子宫次全切除术,切口愈合后出院。术后随访6个月均未复发。结论囊性子宫腺肌病临床较为罕见,缺乏特异性症状及体征,易误诊。临床医生应提高对该病警惕性,加强其相关知识学习,拓展诊断思维对疾病进行全面综合分析并完善相关检查,以降低误诊率。
ObjectiveTo investigate the misdiagnosis causes of cystic adenomyosis as hysteromyoma and preventive measures. MethodsThe clinical data of 5 patients misdiagnosed in 90 patients with cystic uterine gland disease was analyzed retrospectively. ResultsThe misdiagnosis rate of this group was 5.56%. Four patients were admitted to the hospital due to menostaxis, menorrhagia and menstrual pain, and one patient was admitted due to menostaxis and menorrhagia. Five cases were misdiagnosed as hysteromyoma at the initial stage of diagnosis and the duration of misdiagnosis was 3-10 (5.26±2.36) d. All 5 cases were finally diagnosed with cystic adenomyosis by MRI and/or postoperative pathology. Three cases underwent adenoma resection, and 2 patients underwent laparoscopic subtotal hysterectomy. They were discharged home after wound healing. There was no recurrence after 6 months of follow-up. ConclusionCystic adenomyosis is rare in clinical settings and lacks specific signs and symptoms, therefore, it is easily misdiagnosed. Clinicians should improve the vigilance of the disease, strengthen the relevant knowledge, and expand their diagnostic thinking to conduct a comprehensive analysis and improve the relevant examination, so as to reduce the rate of misdiagnosis.
作者
刘高伟
王雪梅
徐娟
LIU Gao-wei;WANG Xue-mei;XU Juan(Department of Obstetrics and Gynecology, Xi'an Central Hospital, Xi'an 710000, China;Department of Obstetrics and Gynecology, First Hospital of Yulin, Yulin, Shaanxi 718000, China)
出处
《临床误诊误治》
2019年第5期9-12,共4页
Clinical Misdiagnosis & Mistherapy
基金
陕西省科技厅社会发展攻关项目(2015SF-160)
