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孕期催乳素水平:早期停用溴隐亭后正常受试者与患微腺瘤或大腺瘤患者的比较

Prolactin levels in pregnancy: comparison of normal subjects with patients having micro- or macroadenomas after early bromocriptine withdrawal.

作者信息

Woodhouse N J, Niles N, McDonald D, McCorkell S

出版信息

Horm Res. 1985;21(1):1-9. doi: 10.1159/000180019.

DOI:10.1159/000180019
PMID:3972334
Abstract

14 previously infertile patients, 11 with radiologically abnormal fossae, and a mean prolactin level of 761 ng/ml (range 49-4,500 ng/ml) conceived on 19 occasions during bromocriptine treatment. So far, 15 healthy infants have been delivered. Treatment was withdrawn soon after conception and the subsequent prolactin changes compared with those of 44 normal subjects. Prolactin levels returned to pretreatment values in 7, but stayed within our normal range (less than 350 ng/ml) in the 6 remaining patients studied. No patient developed signs or symptoms of tumor enlargement. 2 patients, 1 of them with the largest tumor, have now normal prolactin levels and can be considered as cured. Bromocriptine treatment can restore fertility and be safely withdrawn during pregnancy even in patients presenting with large tumors. Nevertheless, patients should be carefully monitored and treatment with bromocriptine re-introduced if necessary.

摘要

14例既往不孕患者,其中11例放射学检查发现盆腔异常,平均催乳素水平为761 ng/ml(范围49 - 4500 ng/ml),在溴隐亭治疗期间受孕19次。迄今为止,已分娩15名健康婴儿。受孕后不久停用治疗,并将随后的催乳素变化与44名正常受试者的变化进行比较。7例患者的催乳素水平恢复到治疗前值,但在其余6例研究患者中,催乳素水平保持在我们的正常范围内(低于350 ng/ml)。没有患者出现肿瘤增大的体征或症状。2例患者,其中1例患有最大的肿瘤,目前催乳素水平正常,可视为治愈。即使是患有大肿瘤的患者,溴隐亭治疗也可恢复生育能力,且在孕期可安全停药。然而,应对患者进行仔细监测,必要时重新使用溴隐亭治疗。

相似文献

1
Prolactin levels in pregnancy: comparison of normal subjects with patients having micro- or macroadenomas after early bromocriptine withdrawal.孕期催乳素水平:早期停用溴隐亭后正常受试者与患微腺瘤或大腺瘤患者的比较
Horm Res. 1985;21(1):1-9. doi: 10.1159/000180019.
2
Bromocriptine for induction of ovulation in hyperprolactinemic amenorrhea.溴隐亭用于高泌乳素血症性闭经的促排卵治疗。
Acta Eur Fertil. 1984 Mar-Apr;15(2):83-91.
3
[Bromocriptine therapy of prolactinoma in pregnancy].[溴隐亭治疗妊娠期泌乳素瘤]
Zentralbl Gynakol. 1985;107(14):899-903.
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[The influence of bromocriptine-induced pregnancy and delivery on infertile cases with pituitary microadenoma].[溴隐亭诱导妊娠及分娩对垂体微腺瘤不孕病例的影响]
Nihon Sanka Fujinka Gakkai Zasshi. 1983 Apr;35(4):459-68.
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Pregnancy after bromocriptine-induced reduction of an extrasellar prolactin-secreting pituitary macroadenoma.溴隐亭治疗后鞍外分泌催乳素的垂体大腺瘤缩小后的妊娠情况。
Obstet Gynecol. 1984 Sep;64(3 Suppl):2S-7S. doi: 10.1097/00006250-198409001-00001.
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[Pregnancy in a subject with prolactin-secreting pituitary adenoma during therapy with bromocriptine].[溴隐亭治疗期间泌乳素分泌型垂体腺瘤患者的妊娠情况]
Riv Ital Ginecol. 1980;59 Suppl:87-91.
7
[Comparison of the therapeutic results of bromocriptine treatment of prolactin microadenoma and macroadenoma].[溴隐亭治疗泌乳素微腺瘤和大腺瘤的疗效比较]
Zhonghua Nei Ke Za Zhi. 1990 Nov;29(11):669-72, 702-3.
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Macroprolactinomas with suprasellar extension: effect of bromocriptine withdrawal during one or more pregnancies.伴有鞍上扩展的大泌乳素瘤:在一次或多次妊娠期间停用溴隐亭的影响。
Fertil Steril. 1992 Sep;58(3):492-7. doi: 10.1016/s0015-0282(16)55250-9.
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Hypothalamic-pituitary function following bromocriptine therapy in patients with prolactinomas.溴隐亭治疗催乳素瘤患者后的下丘脑 - 垂体功能
J Reprod Med. 1982 Mar;27(3):139-45.
10
Hyperprolactinemia. Long-term effects of bromocriptine.高催乳素血症。溴隐亭的长期影响。
Am J Med. 1983 Nov;75(5):868-74. doi: 10.1016/0002-9343(83)90418-7.

引用本文的文献

1
Treatment of hyperprolactinemia: a systematic review and meta-analysis.高泌乳素血症的治疗:系统评价和荟萃分析。
Syst Rev. 2012 Jul 24;1:33. doi: 10.1186/2046-4053-1-33.
2
Growth of a microprolactinoma to a macroprolactinoma during estrogen therapy.雌激素治疗期间微泌乳素瘤向大泌乳素瘤的生长。
J Endocrinol Invest. 1995 Jun;18(6):450-5. doi: 10.1007/BF03349744.
3
Differential effect of food on kinetics of bromocriptine in a modified release capsule and a conventional formulation.食物对溴隐亭缓释胶囊和传统制剂动力学的差异影响。
Eur J Clin Pharmacol. 1988;35(5):535-41. doi: 10.1007/BF00558250.