Comparison of Short and Long Term Curative Effects between Adenomyomectomy and Uterine Artery Embolisation in Treatment of Adenomyosis

Objective:To assess the short and long term curative effects of adenomyomectomy and uterine artery embolisation(UAE) in treatment of adenomyosis(AM).Methods:Women undergoing adenomyomectomy(group A 97cases) and undergoing UAE(group B 89cases) were followed up to 48 months after operations.The degree of dysmenorrheal,level of hemoglobin,uterine volume,and security after two operations were compared and analyzed between these two groups.Resluts:The symptom of dysnenorrhea:the rates of dysnenorrhea in group A and group B were 93.3%、91.6%respectively,and effective rates were in 76.7%(69/90)、 73.5%(61/83)respectively,the difference was not statistically significant(P0.05).The level of hemoglobin:the level of hemoglobin 6 months after operations in group A and group B were 102.7±26.0 g/L、99.6±17.4 g/L,respectively,48 months after operations were 121.6±13.8 g/L、117.4±14.2 g/L respectively.There was obvious raise about hemoglobin when compared to preoperation(P0.05).There was no statistically significant between two groups after operation(P0.05).The uterine volume was obvious smaller after operation in two groups(P0.05),especially in group A.There was obvious statistical different after operation in two groups in different time(P0.05).The level of CA125 was raised before operation.6 months after operation,there were 90 and 78 cases with normal level of CA125 in two groups.There were no severe complications in two groups during follow up and no changes of sex hormone.The time of pregnancy after operation in group A was longer than group B.The cost in group B was obviously higher than group A.Conclusions:Both adenomyomectomy and UAE are effective and safe surgical approaches for the patients with AM.Adenomyomectomy has good cost performance.UAE makes it possible for the patients desired pregnancy to conceive shortly after the operation.