Minimally invasive treatment of adenomyosis

被引:54
作者
Dueholm, Margit [1 ]
机构
[1] Aarhus Univ Hosp, Dept Gynecol & Obstet, Palle Juhl Jensensvej 100, DK-8200 Aarhus N, Denmark
关键词
Adenomyosis; Surgery; Gonadotropin-releasing hormone; High-intensity focused ultrasound ablation; Levonorgestrel; Uterine artery embolization; UTERINE ARTERY EMBOLIZATION; FOCUSED ULTRASOUND ABLATION; IN-VITRO FERTILIZATION; SEVERELY SYMPTOMATIC WOMEN; PITUITARY DOWN-REGULATION; TERM-FOLLOW-UP; INTRAUTERINE SYSTEM; LONG-TERM; ENDOMETRIAL ABLATION; ORAL-CONTRACEPTIVES;
D O I
10.1016/j.bpobgyn.2018.01.016
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
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. (C) 2018 Published by Elsevier Ltd.
引用
收藏
页码:119 / 137
页数:19
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