目的： 探讨子宫腺肌病的发病机理、误诊原因及诊治方法。方法： 回顾性分析１９９５ 年１１ 月～１９９８ 年１１ 月我科３９ 例术后经病理证实为子宫腺肌病（ 或子宫腺肌瘤） 患者的临床资料。结果： 占同期子宫切除及子宫病灶剔除术的１３６ ％ ； Ｂ 超误（ 漏） 诊率８７１ ％ ； 临床诊断误（ 漏） 诊率６９２ ％ 。结论： 提示本病的发生与妊娠、宫腔操作及内分泌等有关。为减少临床误（ 漏） 诊率， 必须综合分析病史、临床症状， 并结合妇科及超声检查。治疗以手术为主， 辅以激素治疗。 Objective: To investigate the pathogenesis of adenomyosis, causes of misdiagnosis and diagnosis and treatment methods. Methods: The clinical data of 39 patients with pathologically confirmed adenomyosis (or adenomyosis) in our department from November 1995 to November 1998 were retrospectively analyzed. Results: It accounted for 136% of hysterectomy and uterine lesions resection in the same period, 871% of B ultrasonography (missed) and 692% of clinical diagnosis of misdiagnosis. Conclusion: Tip of the occurrence of this disease and pregnancy, uterine operation and endocrine related. To reduce the clinical error rate, we must comprehensively analyze the medical history, clinical symptoms, combined with gynecological and ultrasound examination. Surgical treatment-based, supplemented by hormone therapy.