【摘要】 疼痛是子宫腺肌病的主要临床表现之一。子宫腺肌病相关疼痛的发病机制复杂，涉及多个方面相互交织作用。超声和磁共振成像检查对于子宫腺肌病的诊断和分型有重要意义。子宫腺肌病的分型及不同类型的疼痛特点目前未达成共识，外生型疼痛症状可能更明显，对孕激素治疗反应好。子宫切除术是子宫腺肌病相关疼痛的根治性治疗方案，要求保留子宫的患者可选择病灶切除术、子宫内膜去除术或微无创治疗。子宫腺肌病相关疼痛的长期管理需根据患者年龄阶段、生育需求、症状严重程度及病变特点制定个体化策略。更多还原

【Abstract】 Pain is one of the main clinical manifestations of adenomyosis. The pathogenesis of adenomyosis-associated pain is complex, involving multiple interrelated mechanisms. Ultrasound and magnetic resonance imaging play crucial roles in diagnosis and typing of adenomyosis.Currently,there is no consensus on typing and pain characteristics across different types. Exogenous pain may have more obvious symptoms,and responds well to progesterone treatment. Hysterectomy serves as the radical treatment.For patients desiring uterine preservation,lesion excision,endometrial ablation,or minimally invasive or non-invasive treatment may be alternatives. The long-term management requires making individualized strategies based on the patient’s age,fertility demand,symptom severity and lesion characteristics.更多还原