Piriyev Elvin, Römer Thomas
University Witten-Herdecke, Alfred-Herrhausen-Straße 50, 58455 Witten, Germany.
Department of Obstetrics and Gynecology, Academic Hospital Cologne Weyertal, Weyertal 76, 50931 Cologne, Germany.
Radiol Case Rep. 2025 Jan 24;20(4):1983-1987. doi: 10.1016/j.radcr.2025.01.017. eCollection 2025 Apr.
Adenomyosis is a prevalent gynecological condition that affects women of reproductive age, and its treatment can present significant challenges. Conventional surgical approaches are traumatic to the uterine tissue, necessitating the development of alternative methods. We herein describe the successful treatment of a large diffuse adenomyosis on the back wall of the uterus in a high-risk patient with severe symptoms and fertility desire, using transcervical intrauterine ultrasound-guided radiofrequency ablation. The treatment significantly reduced uterine and adenomyosis volumes and improved the symptoms. This method is a minimally invasive uterine-preserving option and serves as a promising therapeutic alternative to conventional procedures, such as hysterectomy and tissue excision, for treating adenomyosis.
子宫腺肌病是一种常见的妇科疾病，影响育龄妇女，其治疗可能带来重大挑战。传统的手术方法对子宫组织有创伤，因此需要开发替代方法。我们在此描述了一位高危患者，症状严重且有生育愿望，采用经宫颈子宫内超声引导下射频消融术成功治疗了子宫后壁的大面积弥漫性子宫腺肌病。该治疗显著减小了子宫和子宫腺肌病的体积，并改善了症状。这种方法是一种微创保宫选择，对于治疗子宫腺肌病而言，是子宫切除术和组织切除术等传统手术有前景的替代治疗方法。
