Department of Gynecology and Obstetrics, Aarhus University Hospital, Palle Juhl Jensensvej 100, 8200 Aarhus N, Denmark.
Best Pract Res Clin Obstet Gynaecol. 2018 Aug;51:119-137. doi: 10.1016/j.bpobgyn.2018.01.016. Epub 2018 Feb 15.
The aim of the present review is to give a comprehensive overview of minimal invasive treatment options and suggest a minimally invasive approach in women with adenomyosis (AD). A review of relevant literature on medical and surgical treatment options is performed. Surgical options include endometrial ablation, hysteroscopic endometrial and adenomyoma resection, laparoscopic resection of AD, high-intensity focused ultrasonography (HIFU), and uterine artery embolization (UAE). This review summarizes treatment strategies for the management of AD and highlights the present lack of knowledge, which makes suggestions of evidence-based treatment difficult.
本文旨在全面概述治疗子宫腺肌病(AD)的微创治疗方法,并建议采用微创方法。对相关医学和手术治疗方法的文献进行了回顾。手术方法包括子宫内膜消融术、宫腔镜子宫内膜和腺肌瘤切除术、腹腔镜 AD 切除术、高强度聚焦超声(HIFU)和子宫动脉栓塞术(UAE)。本文总结了 AD 的治疗策略,并强调了目前缺乏知识,这使得提出基于证据的治疗建议变得困难。