Current Situation and Progress of Uterus-Sparing Operative Treatment for Adenomyosis

Adenomyosis is a common benign disease that usually affects women of reproductive age, which is characterized by the growth of endometrial glands and stroma into the myometrium. Hysterectomy by laparotomy or laparoscopy is currently leading therapeutics for adenomyosis, applying to women without fertility requirements. Since the development and popularization applications of magnetic resonance(MRI) and transvaginal ultrasound(TVU) as well as other medical imaging technologies, female of adenomyosis were increasingly diagnosised at younger age,leading to a shift of the clinical treatment modalities. More and more women strongly hope for the integrity of uterus and fertility because of many factors, such as quality of life. Therefore, uterus-sparing operative treatment for adenomyosis, such as adenomyomectomy and uterine remodeling, partial resection of the lesion of adenomyosis plus uterine artery occlusion, is being developed, and is discussed in detail in this review.