Preoperative diagnosis provided an accurate diagnosis of adenomyosis in the 58.5% of cases in 1999, and 89.2% in 2003. Optimal treatment was hysterectomy, 56.4% is subtotal hysterectomy, 40.2% is total hysterectomy.

• 术前诊断由1999年的58.；5%25提高至2003年的89