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[炔诺酮对育龄期妇女子宫内膜和肌层增生性疾病的治疗作用机制]

[The mechanism of the therapeutic effect of norethisterone in hyperplastic diseases of the endo- and myometrium in women of reproductive age].

作者信息

Vikhliaeva E M, Uvarova E V, Samedova N Ch

出版信息

Vopr Onkol. 1990;36(6):683-9.

PMID:2198696
Abstract

The paper is concerned with results of a study of clinico-biologic effect of a gestagen norsteroid drug--norcolut--on solitary and combined lesions of the endo- and myometrium. Four hundred and thirty-four patients of reproductive age with hyperplasia or polyps of the endometrium, uterine myoma, internal endometriosis or a combination of the pathologies were examined prior to administration of norcolut and during posttreatment cycle to evaluate the influence of the drug on the female reproductive system. Norcolut exerted the regulatory effect on the rhythm and pattern of menstruation and inhibited tumor growth. Also, changes in localization of myoma nodes, normalization of steroid hormone profile, decrease in the level of estradiol and progesterone receptors, and secretory transformation of the endometrium were observed. Those changes resulted in regression of endometrial lesions.

摘要

本文关注一种孕激素类甾体药物——炔诺酮(norethisterone)对子宫内膜和子宫肌层单发及合并病变的临床生物学效应的研究结果。对434例患有子宫内膜增生或息肉、子宫肌瘤、内在性子宫内膜异位症或这些病症合并存在的育龄患者,在服用炔诺酮之前以及治疗后的周期内进行了检查,以评估该药物对女性生殖系统的影响。炔诺酮对月经的节律和模式发挥调节作用,并抑制肿瘤生长。此外,还观察到肌瘤结节位置的变化、甾体激素谱的正常化、雌二醇和孕激素受体水平的降低以及子宫内膜的分泌性转化。这些变化导致子宫内膜病变消退。

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