adenomyosis, dysmenorrhea, menorrhagia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Symptomatic adenomyosis without fertility requirements, with symptoms defined as menorrhagia, dysmenorrhea and/or pain related to uterine volume and pain unrelated to the menstrual cycle. 2. Diagnosed by ultrasound or magnetic resonance imaging (MRI) as simple adenomyosis or adenomyosis as the main condition accompanied by uterine fibroids or ovarian chocolate cysts; 3. These women had received drug treatment but it was unsuccessful, or they decided that drug treatment was not feasible, or they refused drug or other treatments.
Exclusion criteria
Exclusion criteria: 1. The acute phase of concurrent urogenital system infection or systemic infection; 2. Coexisting confirmed or suspected gynecological malignancies; 3. The acute stage of severe internal diseases such as heart, liver and kidney failure; 4. Severe coagulation disorders and hematological diseases; 5. Those who need to undergo total hysterectomy through laparotomy for various reasons. 6. Patients undergoing laparoscopic total hysterectomy concurrently with severe endometriosis surgery or bilateral oophorectomy; 7. Laparoscopic hysterectomy group: There were other conditions that made them unable to tolerate anesthesia and surgery. 8. The UAE group: General contraindications for interventional embolization therapy, such as contrast agent allergy, skin infection at the puncture site, renal insufficiency or severe immunosuppression of the body; 9. The UAE group: Patients with adenomyosis whose lesions were mainly supplied by bilateral ovarian arteries as indicated by MRA.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Quality of life and health status score; | — |
Secondary
| Measure | Time frame |
|---|---|
| pain score;Symptoms and health-related quality of life scores; | — |
Countries
China
Contacts
Guangdong Second Provincial General Hospital (Guangdong Provincial Emergency Hospital)