The symptomatology of adenomyosis
The symptomatology of adenomyosis
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DOI：
10.1016/j.bpobgyn.2006.01.006
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发表时间：
2006-08-01
影响因子：
5.5
通讯作者：
Fraser, I. S.
中科院分区：
文献类型：
--
作者：
Peric, H.;Fraser, I. S.
子宫腺肌病是一种人们知之甚少的疾病，由于诊断困难、定义缺乏共识以及可能伴随的症状模式模糊和不明确，它被称为“难以捉摸”或“神秘”。毫无疑问，一些患有子宫腺肌症的女性可能会经历麻烦的月经出血量、痛经，有时还会出现子宫触痛。然而，这些症状出现的频率和严重程度，以及完全无症状的子宫腺肌症患者的比例，尚不清楚。子宫腺肌病与其他盆腔病变的常见关联是另一个混淆相关症状理解的因素。很明显，子宫腺肌病引起的症状并没有特定的组合，尽管其中许多女性无疑会遭受月经量过多的困扰。现在，中度至重度子宫腺肌病可以通过高质量的超声或磁共振成像（MRI）在术前得到相当可靠的诊断，因此迫切需要多中心合作以统一的方式前瞻性地定义症状，然后将其与具体的影像学结果相关联（并与后来的手术和病理结果进行比较）。
Adenomyosis is a poorly understood condition which has been called 'elusive' or 'enigmatic' because of the difficulty in diagnosis, the lack of agreement on definition, and also because of the vague and ill-defined pattern of symptoms which may accompany it. There is little doubt that some women with adenomyosis may experience troublesome, heavy menstrual bleeding, troublesome dysmenorrhoea, and sometimes a tender uterus. However, the frequency and severity with which these symptoms occur, and the proportion of adenomyosis sufferers who are completely asymptomatic, are quite unclear. The common association of adenomyosis with other pelvic pathologies is an additional factor which confuses the understanding of related symptoms. It is clear that there is no specific combination of symptoms caused by adenomyosis, although many of these women will undoubtedly suffer from very heavy menstrual periods. Now that moderate to severe degrees of adenomyosis can be diagnosed preoperatively with a fair degree of reliability by good-quality ultrasound or magnetic resonance imaging (MRI), there is an urgent need for multicentre collaboration to prospectively define symptomatology in a uniform manner, and then correlate this with specific findings on imaging (and compare with later surgical and pathological findings).