Shwayder James, Sakhel Khaled
Department of Obstetrics and Gynecology, University of Mississippi Medical Center, Jackson, Mississippi.
Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia.
J Minim Invasive Gynecol. 2014 May-Jun;21(3):362-76. doi: 10.1016/j.jmig.2013.11.011. Epub 2013 Dec 4.
Uterine myomas and adenomyosis are common findings, in particular in patients with symptoms of abdominal enlargement, pelvic pressure, abnormal uterine bleeding, dysmenorrhea, and dyspareunia. Diagnosis and differentiation between the 2 entities are critical in establishing treatment options and the operative approach for surgical management. Herein are reviewed diagnostic options, their relative accuracy, and the effect of accurate diagnosis on treatment. A review was performed using PubMed, MdConsult, OVID, and reviews including cross-referenced articles and prospective and retrospective studies published from 1980 to 2013. Also reviewed are use of ultrasound with its various methods, magnetic resonance imaging, computed tomography, and positron emission tomography in the diagnosis, pretreatment evaluation, and differentiation of myomas and adenomyosis.
子宫肌瘤和子宫腺肌病很常见，尤其是在有腹部增大、盆腔压迫感、异常子宫出血、痛经和性交困难症状的患者中。这两种疾病的诊断和鉴别对于确定治疗方案以及手术管理的手术方式至关重要。本文综述了诊断方法、它们的相对准确性以及准确诊断对治疗的影响。使用PubMed、MdConsult、OVID进行了综述，并纳入了包括交叉引用文章以及1980年至2013年发表的前瞻性和回顾性研究的综述。还综述了超声及其各种方法、磁共振成像、计算机断层扫描和正电子发射断层扫描在子宫肌瘤和子宫腺肌病的诊断、术前评估及鉴别中的应用。
