| 蔡朋达,王肖力.囊性子宫腺肌病1例并文献复习[J].安徽医药,待发表. |
| 囊性子宫腺肌病1例并文献复习 |
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| 投稿时间：2024-03-26 录用日期：2024-04-19 |
| DOI： |
| 中文关键词: 囊性子宫腺肌病 青少年型囊性子宫腺肌病 成年型囊性子宫腺肌病 治疗 病例报告 |
| 英文关键词: |
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| 摘要点击次数: 115 |
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| 中文摘要: |
| 目的 报告1例罕见的囊性子宫腺肌病患者的临床表现、诊断和治疗过程，并通过回顾文献加深对该疾病的认识。方法 对一名43岁成年女性患者进行临床观察和诊治，患者主诉继发性痛经2年，下腹痛12小时，术前彩超提示巧克力囊肿蒂扭转，结合术中腹腔镜探查所见及术后病理诊断为囊性子宫腺肌病，完整切除病灶并术后给予GnRH-a预防复发。结果 患者术后预后良好，未出现复发或并发症。结论 囊性子宫腺肌病较为罕见，其临床表现无特异性，有时可表现为急腹症，临床医生应加深对此疾病的认识以避免误诊误治，同时，本例显示手术是其治疗的有效方法。 |
| 英文摘要: |
| Objective To report the clinical presentation, diagnosis and treatment process of a rare case of cystic adenomyosis, and to deepen understanding of the disease through literature review. Methods Clinical observation and treatment were conducted on a 43-year-old adult female patient. The patient complained of secondary dysmenorrhea for 2 years and lower abdominal pain for 12 hours. Preoperative color Doppler ultrasound suggested torsion of a chocolate cyst. Combined with findings from laparoscopic exploration during surgery and the postoperative pathological diagnosis, the condition was identified as cystic adenomyosis. The lesion was completely excised, and postoperative administration of GnRH-a was prescribed to prevent recurrence. Results The patient had a good postoperative prognosis with no recurrence or complications. Conclusion Cystic adenomyosis is relatively rare and often presents with nonspecific clinical symptoms. It can sometimes manifest as acute abdomen. Clinicians should deepen their understanding of this disease to prevent misdiagnosis and inappropriate treatment. Moreover, this case demonstrates that surgical intervention is an effective treatment method for this condition. |
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