{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:49:32Z","timestamp":1787021372705,"version":"build-2736575974"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"1151","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BJR"],"published-print":{"date-parts":[[2023,11]]},"abstract":"\n Objective:<\/jats:title>\n To evaluate the efficacy and safety of percutaneous microwave ablation (PMWA) for treating adenomyosis in the posterior uterine wall.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n Thirty-six patients with symptomatic adenomyosis in the posterior uterine wall who had been subjected to PMWA were retrospectively enrolled in this study. 20 patients who had no ideal transabdominal puncture path due to the retroverted or retroflexed uterine position were treated with PMWA combined with Yu\u2019s uteropexy (Group 1). The other 16 patients were treated with PMWA only (Group 2). The non-perfused volume (NPV) ratio, symptomatic relief rate, recurrence rate, changes in clinical symptom scores, economic cost, and complications were compared.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n The mean NPV ratio for the 36 patients was 90.2\u00b118.3%, and the percentage of patients who obtained complete relief of dysmenorrhea and menorrhagia was 81.3% (26\/32), and 69.6% (16\/23) respectively. The recurrence rate was 11.1% (4\/36). No major complication was observed. Minor complications included lower abdominal pain, fever, vaginal discharge, nausea, and\/or vomiting after ablation, with incidences of 55.6%, 41.7%, 47.2%, and 19.4% respectively. Subgroup analysis showed no significant difference in the median value of NPV ratio, symptomatic relief rate of dysmenorrhea and menorrhagia, changes in clinical symptom scores, recurrence rate and economic cost between the two groups (all p > 0.05).<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n PMWA is an effective and safe treatment for adenomyosis in the posterior uterine wall.<\/jats:p>\n <\/jats:sec>\n \n Advances in knowledge:<\/jats:title>\n This study focused on the ultrasound-guided PMWA treatment for adenomyosis in the posterior uterine wall. Yu\u2019s uteropexy, a new ancillary technique allowing safe PMWA for deep posterior uterine wall lesions in retroverted uterus, expanded the indications of PMWA for symptomatic adenomyosis.<\/jats:p>\n <\/jats:sec>","DOI":"10.1259\/bjr.20211301","type":"journal-article","created":{"date-parts":[[2023,4,5]],"date-time":"2023-04-05T09:57:10Z","timestamp":1680688630000},"source":"Crossref","is-referenced-by-count":15,"title":["Efficacy and safety of percutaneous microwave ablation for adenomyosis in the posterior uterine wall"],"prefix":"10.1093","volume":"96","author":[{"given":"Hui-Li","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Medical Ultrasound and Center of Minimally Invasive Treatment for Tumor, Shanghai Tenth People\u2019s Hospital, Ultrasound Research and Education Institute, Clinical Research Center for Interventional Medicine, School of Medicine, Tongji University, Shanghai, China"},{"name":"Shanghai Engineering Research Center of Ultrasound 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