Table I.
Author, year | Country | Inclusion period | Study design | n, total (n per arm) | Diagnostic tool | Intervention group 1 |
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Intervention group 2 | ||||||||
Intervention group 3 | ||||||||
Kwack et al., 2021 | Korea | May 2011–May 2019 | Cohort, retrospective | 22 | MRI | Adenomyomectomy, antenatal follow-up with strict protocol | ||
Sun et al., 2021 | China | January 2015–July 2018 | Cohort, not reported if prospective or retrospective | 52 | MRI | Laparoscopic adenomyomectomy + insertion of LNG IUS | ||
Sun et al., 2020 | China | June 2012–August 2014 | Cohort, not reported if prospective or retrospective | 90 | TVUS + MRI + Ca125 | ‘Major uterine wall resection and reconstruction of the uterus’ (MURU) + LNG-IUS | ||
Lin et al., 2020 | China | October 2015–October 2017 | Prospective randomized parallel controlled trial | 133 (68/65) | Ultrasound + MRI | Transcutaneous microwave ablation | ||
Percutaneous radiofrequency ablation | ||||||||
Li et al., 2020 | China | January 2012–January 2017 | Retrospective open, non-randomized, controlled trial | 193 (57/83/53) | TVUS | Open adenomyomectomy | ||
Open adenomyomectomy + 6 months GnRH-a | ||||||||
Open adenomyomectomy + 6 months GnRH-a + LNG IUS | ||||||||
Huang et al., 2020 | China | January 2012–January 2017 | Retrospective non-randomized controlled trial | 93 (50/43) | TVUS | HIFU + GnRH-a for 4–6 months | ||
Adenomyomectomy + GnRH-a for 4–6 months | ||||||||
Yang et al., 2019 | China | August 2015–November 2017 | Cohort prospective | 466 | MRI + TVUS | HIFU + GnRH-a for 3 months + LNG IUS | ||
Lee et al., 2019 | Korea | February 2010–October 2017 | Cohort retrospective | 889 | MRI + TVUS | HIFU | ||
Jun-Min et al., 2018 | China | January 2012–December 2014 | Cohort, retrospective | 198 | MRI + TVUS | U-shaped myometrial excavation and modified suture approach | ||
Li et al., 2018 | China | February 2015–February 2016 | Prospective, nonrandomized, parallel-controlled study |
200 (40/40/40/40/20/20) |
TVUS |
Group 1: 3.75 mg GnRH-a |
Group 2: 1.88 mg GnRH-a |
Group 3: LNG IUS |
Group 4: 3.75 mg GnRH-a + LNG IUS |
Group 5: 1.88 mg GnRH-a + LNG IUS |
Group 6: San-Jie-Zhen-Tong capsules |
||||||
Guo et al., 2018 | China | January 2013–January 2015 | Cohort retrospective | 78 (45/15/18) | MRI + TVUS | HIFU only | ||
HIFU + LNG IUS | ||||||||
HIFU + GnRH-a | ||||||||
Alizzi, 2018 | Iraq | January 2016–January 2018 | Cohort prospective | 32 | TVUS + clinical symptoms | GnRH-a every 28 days until uterine volume <150 cm, then LNG IUS. | ||
Yang et al., 2017 | China | January 2019–December 2013 | Cohort prospective | 112 (56/56) | TVUS and/or MRI | Laparoscopic uterine artery occlusion and partial adenomyomectomy + laparoscopic uterine pelvic plexus ablation | ||
Laparoscopic uterine artery occlusion and partial adenomyomectomy only | ||||||||
Osuga et al., 2017 | Japan | August 2014–June 2015 | Randomized, double-blind, multicentre, placebo-controlled phase III study | 68 (35/33) | TVUS + MRI | Dienogest twice daily for 16 weeks, starting between the second and fifth day of the menstrual cycle, analgetic if needed | ||
Placebo twice daily for 16 weeks, starting between the second and fifth day of the menstrual cycle, analgetic if needed | ||||||||
Liu et al., 2017 | China | January 2012–December 2016 | Cohort retrospective | 368 (66/302) | TVUS or MRI | HIFU | ||
Abdominal hysterectomy | ||||||||
Huang et al., 2017 | China | January 2011–August 2015 | Cohort retrospective | 102 | MRI | MR-HIFU alone | ||
MR HIFU + exercise | ||||||||
Hai et al., 2017 | China | January 2013–October 2015 | Cohort retrospective | 87 | MRI + TVUS + biopsy in some | Ultrasound-guided transcervical radiofrequency ablation | ||
Park et al., 2016 | Korea | February 2010–December 2014 | Cohort retrospective | 192 | TVUS | HIFU | ||
Liu et al., 2016 | China | January 2007–December 2013 | Cohort retrospective | 230 | MRI | HIFU | ||
Chong et al., 2016 | Korea | August 2008–May 2011 | Cohort prospective | 33 | TVUS + MRI | Laparoscopic or robotic adenomyomectomy with uterine artery ligation | ||
N = 18 (random) GnRH-a additionally | ||||||||
Long et al. 2015 | China | January 2012–December 2012 | Cohort prospective | 51 | MRI | HIFU | ||
Lee et al., 2015 | Korea | February 2010–October 2013 | Cohort retrospective | 346 | TVUS + MRI | HIFU | ||
Huang et al., 2015 | China | March 2011–February 2014 | Cohort prospective (patient chose group) | 94 (48/46) | MRI + TVUS | Adenomyomectomy, conventional + 6 months GnRH-a | ||
Adenomyomectomy double flap + 6 months GnRH-a | ||||||||
Zhang et al., 2014 | China | November 2010–June 2012 | RCT | 86 (43/43) | MRI | HIFU + oxytocin injection during HIFU ablation procedure | ||
HIFU + 0.9% saline injection | ||||||||
Liu et al., 2014 | China | July 2003–July 2009 | Retrospective cohort | 182 | TVUS | Bilateral laparoscopic uterine artery occlusion + adenomyomectomy | ||
Ekin et al., 2013 | Turkey | January 2012–December 2012 | Cohort prospective | 70 | TVUS | LNG IUS | ||
Kelekci et al., 2012 | Turkey | March 2006–May 2009 | Prospective, open, nonrandomized | 74 (23/25/26) | TVUS | LNG IUS (patients with adenomyosis) | ||
LNG IUS (patients without adenomyosis) | ||||||||
Copper intrauterine device (patients without adenomyosis) | ||||||||
Zhou et al., 2011 | China | March 2007–September 2008 | Cohort prospective | 78 | MRI | HIFU | ||
Ozdegirmenci et al., 2011 | Turkey | April 2007–February 2009 | RCT | 75 (43/32) | TVUS + MRI | LNG IUS | ||
Abdominal hysterectomy | ||||||||
Kang et al., 2010 | China | January 2005–June 2007 | Randomized prospective observational | 70 | MRI or TVUS | ‘4-dose regimen’ (triptorelin 3.75 mg by intramuscular injection every 6 weeks for a total of 4 doses) | ||
Conventional regimen (1 injection every 4 weeks for a total of 6 doses). | ||||||||
Sheng et al., 2009 | China | NR | Prospective cohort | 94 | TVUS | LNG IUS | ||
Kang et al., 2009 | China | July 2003–October 2005 | Retrospective cohort study | 37 | TVUS + clinical symptoms | Laparoscopic adenomyosis resection + uterine artery occlusion | ||
Cho et al., 2008 | Korea | July 2003–March 2007 | Cohort prospective | 47 | TVUS | LNG IUS | ||
Kim et al., 2007 | Korea | 1998–2000 | Cohort prospective | 54 | MRI | Uterine artery embolization | ||
Bragheto et al., 2007 | Brazil | NR | Cohort prospective | 29 | MRI | LNG IUS | ||
Hadisaputra and Anggraeni, 2006 | Indonesia | June 2003–June 2004 | Randomized controlled trial | 20 (10/10) | TVUS | Laparoscopic resection + GnRH-a for 3 months | ||
Laparoscopic myolysis + GnRH-a for 3 months | ||||||||
Maia et al., 2003 | Brazil | NR | Cohort retrospective | 95 (53/42) | TVUS | Transcervical endometrial resection + LNG IUS | ||
Transcervical endometrial resection | ||||||||
Fedele et al., 1997 | Italy | NR | Cohort prospective | 25 | TVUS or MRI | LNG IUS |
GnRH-a, gonadotropin-releasing hormone analogue; HIFU, high-intensity focused ultrasound; LNG IUS, levonorgestrel-releasing intrauterine system; TVUS, transvaginal ultrasound.