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[使用促黄体生成激素释放激素类似物和孕三烯酮治疗子宫肌瘤。局限性与适应证]

[Treatment of uterine fibroma using LH-RH analogs and gestrinone. Limits and indications].

作者信息

Erny R, Milliet E

机构信息

Hôpital de la Conception, Marseille.

出版信息

Rev Fr Gynecol Obstet. 1990 Feb;85(2):73-7.

PMID:2108483
Abstract

Medical treatment of fibroma has changed radically in recent years with the introduction of analogs of LH-RH (luteinizing hormone releasing hormone). These agents, which are active only via parenteral administration, have proved remarkably effective, and are devoid of metabolic effects. They do engender some disagreeable adverse reactions, and unfortunately their efficacy is transitory and their cost high. Compared with these analogs, gestrinone, a progestogen as yet unused in treatment of luteal insufficiency, seems very interesting in the treatment of fibromas, due to its prolonged antigonadotropic effect and its antiprogesterone effect. Further studies are required to confirm the first results published by Coutinho.

摘要

近年来,随着促黄体生成激素释放激素(LH-RH)类似物的引入,纤维瘤的医学治疗发生了根本性变化。这些药物仅通过肠胃外给药才有活性,已被证明非常有效,且没有代谢作用。它们确实会产生一些令人不适的不良反应,不幸的是,其疗效是暂时的,成本也很高。与这些类似物相比,孕三烯酮是一种尚未用于治疗黄体功能不全的孕激素,由于其延长的抗促性腺激素作用和抗孕酮作用,在纤维瘤的治疗中似乎非常有吸引力。需要进一步研究来证实库蒂尼奥发表的初步结果。

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1
[Treatment of uterine fibroma using LH-RH analogs and gestrinone. Limits and indications].[使用促黄体生成激素释放激素类似物和孕三烯酮治疗子宫肌瘤。局限性与适应证]
Rev Fr Gynecol Obstet. 1990 Feb;85(2):73-7.
2
Gestrinone in the treatment of myomas.孕三烯酮治疗子宫肌瘤。
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[Shrinkage of uterine leiomyomas after intranasal administration of a LHRH agonist].经鼻给予促黄体生成素释放激素激动剂后子宫平滑肌瘤的缩小
Nihon Sanka Fujinka Gakkai Zasshi. 1989 Mar;41(3):365-8.
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Fertil Steril. 1989 Jun;51(6):939-46. doi: 10.1016/s0015-0282(16)60722-7.
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Nihon Sanka Fujinka Gakkai Zasshi. 1986 Jul;38(7):1144-9.
10
Uterine leiomyoma and LHRH agonist treatment. A preliminary report.
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