Department of Gynecology, Obstetrics and Reproductive Health, Cayetano Heredia Peruvian University, Lima, Peru.
Clinic of Gynecology, Obstetrics and Gynecological Oncology, University Hospital for Gynecology, Pius-Hospital Oldenburg, Medical Campus University of Oldenburg, Germany.
Biomed Res Int. 2017;2017:1514029. doi: 10.1155/2017/1514029. Epub 2017 Dec 4.
Adenomyosis or endometriosis genitalis interna is a frequent benign disease of women in fertile age. It causes symptoms like bleeding disorders and dysmenorrhea and seems to have a negative effect on fertility. Adenomyosis can be part of a complex genital and extragenital endometriosis but also can be found as a solitary uterine disease. While peritoneal endometriosis can be easily diagnosed by laparoscopy with subsequent biopsy, the determination of adenomyosis is difficult. In the following literature review, the diagnostic methods clinical history and symptoms, gynecological examination, 2D and 3D transvaginal ultrasound, MRI, hysteroscopy, and laparoscopy will be discussed step by step in order to evaluate their predictive value in the diagnosis of adenomyosis.
子宫腺肌病或内生殖器子宫内膜异位症是生育期妇女常见的良性疾病。它会引起出血紊乱和痛经等症状，似乎对生育能力有负面影响。子宫腺肌病可以是复杂的生殖器和生殖器外子宫内膜异位症的一部分，也可以作为一种孤立的子宫疾病存在。虽然腹膜子宫内膜异位症可以通过腹腔镜检查和随后的活检很容易地诊断，但子宫腺肌病的确定却很困难。在以下文献综述中，将逐步讨论诊断方法，包括临床病史和症状、妇科检查、2D 和 3D 经阴道超声、MRI、宫腔镜和腹腔镜，以评估它们在诊断子宫腺肌病中的预测价值。
