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. 2021 Aug 7;2021(3):hoab030. doi: 10.1093/hropen/hoab030

Table I.

Study characteristics and types of intervention of the included studies.

Author, year Country Inclusion period Study design n, total (n per arm) Diagnostic tool Intervention group 1
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.