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Belstaff España Uterine disease misdiagnosis _5536

 
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PostWysłany: Wto 16:40, 22 Mar 2011    Temat postu: Belstaff España Uterine disease misdiagnosis _5536

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Uterine disease misdiagnosis machine


Women, the incidence of adenomyosis increased year by year, were misdiagnosed as uterine fibroids are more, this paper 64 cases of adenomyosis after analysis of the causes of misdiagnosis. 4 cases of myopathy with myoma. Clinical diagnosis and pathological diagnosis was 46% misdiagnosis rate was 54%. According to the literature the misdiagnosis rate was 43% ~ 68%, B ultrasonic diagnosis and pathological diagnosis of compliance rate of 44%,[link widoczny dla zalogowanych], significantly higher than that reported in the literature of the B-diagnostic rate was 22%. 1. Materials and methods 3. General information discussed after hysterectomy in 1996 diagnosed as 64 cases of adenomyosis, the patient age from 32 to 52 years; an average of 43.5 years, were maternal history. 64 cases of secondary dysmenorrhea patients accounted for 60.93% of 39 cases; menstrual disorders (including menstrual volume, menstrual abnormalities) in 23 cases accounted for 35.93%; pelvic mass in 2 cases accounted for 3.14%. Increased uniformity of the uterus in 52 cases,[link widoczny dla zalogowanych], 12 cases of non-uniformity increases; 64 cases 29 cases on the ring. Ligation in 17 cases, 2 cases of oral contraceptives, flawless Jing 15 cases. B 64 patients underwent abdominal ultrasound examination. Clinical diagnosis of adenomyosis in 14 cases. Adenomyosis with myoma in 15 cases,[link widoczny dla zalogowanych], 35 cases of uterine fibroids. B ultrasound diagnosis of 13 cases of adenomyosis, adenomyosis or uterine fibroids in 15 cases, 35 cases of uterine fibroids, muscle fiber hyperplasia in 1 case. Surgical methods in 56 cases of hysterectomy, subtotal hysterectomy in 8 cases. 2. Results 64 patients were diagnosed ① misdiagnosis of uterine fibroids and adenomyosis groups of the same disease, mostly occurs in women aged 30 to 50; ② similar clinical presentation: The amount of increase and menstruation, dysmenorrhea secondary to different increase the level of the uterus; ③ decisive adenomyosis and uterine fibroids treatment is the same surgery, so do not attach importance to both clinical and more gender-Ran; ④ B adenomyosis Although some ultrasonographic features of the performance,[link widoczny dla zalogowanych], but the uterus adenomyosis is often associated with uterine fibroids, so it is easy to overlook the diagnosis of adenomyosis. How to improve the diagnostic rate of misdiagnosis of this point of view, J-bed medical attention first to the disease, the typical history of dysmenorrhea, gynecological examination the uterus increases, hard or accompanied by tender nodules, first consideration should be given adenomyosis disease possible. Adenomyosis of the uterine size may be cyclical changes. Dynamic observation of uterine changes in the period before, during and after the B-mode ultrasound image of the changes observed, a comprehensive analysis for diagnosis. Fedele and other diffuse adenomyosis found more suitable for transvaginal ultrasound, sensitive; 7 OPIN 128 cases of chronic cervicitis Shuyang People's Hospital of clinical experience (223,600) Zheng Yilan ● - ● __I_ ● ● _ Chronic cervicitis is a common gynecological disease, occurring disease. Married women in different parts of the census, the incidence rate of 50% to 60% Co) in the treatment of chronic cervicitis Clinical experience of 128 cases reported as follows. 1. clinical data of 128 cases in this group are married women, aged 20 to 50 years. the degree of cervical erosion: I degree 88 cases, Ⅱ degrees 34 cases, Ⅲ degree in 6 patients (particle type 4 cases, papillary in 2 cases). had contact bleeding, bleeding through oppression. Treatment Methods: OPIN interferon placed in the vagina posterior fornix. every night a} 7 / / 'film , every other day, 6 times for one course. I degree of erosion, a course of treatment, Ⅱ degree courses of treatment for 2 to 3, Ⅲ degree courses of treatment for 3 to 4 2.. The results, I degree of erosion of 88 cases, after a course are cured, the cure rate was 68.71%, Ⅱ degree of erosion of 34 cases. 30 patients with 2 courses, 3 courses of 4 patients fully recovered, accounting for 26.65%, Ⅲ degree of erosion in 6 cases, 4 cases were cured particle type, accounting for 0.31%, 2 patients treated for 4 cycles, erosion surface is still exposed part of the bleeding, the effect is not obvious, it is total removal of uterine pathology report showed: squamous metaplasia with chronic inflammation. This interference 褰 cervical OPIN inflammation of the cure rate of 96%.
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