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达那唑治疗子宫内膜异位症:长期随访

Danazol treatment of endometriosis: long-term follow-up.

作者信息

Greenblatt R B, Tzingounis V

出版信息

Fertil Steril. 1979 Nov;32(5):518-20. doi: 10.1016/s0015-0282(16)44350-5.

DOI:10.1016/s0015-0282(16)44350-5
PMID:499581
Abstract

Forty-nine women diagnosed as having pelvic endometriosis were treated with 800 mg of danazol/day for a mean duration of 6 months. The average length of the follow-up period was 78 months. Side effects were minimal, and regular ovulatory menses returned within 25 to 90 days (average 42 days). Forty-two (85.7% of these women had associated infertility. Recurrence of symptoms was reported in 33% but in no patient were the symptoms worse than before entering the study. Of 30 patients desirous of pregnancy, 20 were potentially fertile; of these, 10 conceived within 6 months of discontinuing therapy, for a conception rate of 50%. Nine of the remaining ten patients required additional therapeutic procedures (surgery and/or danazol), and four of these conceived within 12 months. These results compare favorably with those of other investigations, since most of our patients were referred to us after being subjected to a variety of regimens, both hormonal and surgical.

摘要

四十九名被诊断患有盆腔子宫内膜异位症的女性接受了每日800毫克达那唑的治疗,平均疗程为6个月。随访期的平均时长为78个月。副作用极小,规律的排卵性月经在25至90天内恢复(平均42天)。其中四十二名(85.7%)女性伴有不孕症。有33%的患者报告症状复发,但没有一名患者的症状比进入研究前更严重。在30名渴望怀孕的患者中,20名具有潜在生育能力;其中,10名在停止治疗后的6个月内受孕,受孕率为50%。其余十名患者中有九名需要额外的治疗程序(手术和/或达那唑),其中四名在12个月内受孕。这些结果与其他研究结果相比更具优势,因为我们的大多数患者在接受了各种激素和手术治疗方案后才被转诊至我们这里。

相似文献

1
Danazol treatment of endometriosis: long-term follow-up.达那唑治疗子宫内膜异位症:长期随访
Fertil Steril. 1979 Nov;32(5):518-20. doi: 10.1016/s0015-0282(16)44350-5.
2
Antigonadotropin (danazol) in the treatment of endometriosis. Evaluation of posttreatment fertility and three-year follow-up data.抗促性腺激素(达那唑)治疗子宫内膜异位症。治疗后生育能力评估及三年随访数据。
Am J Obstet Gynecol. 1978 Jan 1;130(1):41-8. doi: 10.1016/0002-9378(78)90436-2.
3
Conservative treatment of endometriosis externa: the effects of danazol therapy.外在性子宫内膜异位症的保守治疗:达那唑疗法的效果
Fertil Steril. 1983 Aug;40(2):164-9.
4
Combined laparoscopic surgery and danazol therapy for pelvic endometriosis.腹腔镜手术联合达那唑治疗盆腔子宫内膜异位症。
Fertil Steril. 1981 May;35(5):521-5. doi: 10.1016/s0015-0282(16)45493-2.
5
Collaborative study of pregnancy rates following danazol therapy of stage I endometriosis.达那唑治疗I期子宫内膜异位症后妊娠率的协作研究。
Fertil Steril. 1984 Mar;41(3):373-6.
6
Therapeutic effect and side effects of danazol in endometriosis.达那唑治疗子宫内膜异位症的疗效与副作用
Asia Oceania J Obstet Gynaecol. 1982 Sep;8(3):229-36. doi: 10.1111/j.1447-0756.1982.tb00570.x.
7
Danazol in the treatment of endometriosis: analysis of 100 cases with a 4-year follow-up.达那唑治疗子宫内膜异位症:100例患者4年随访分析
Fertil Steril. 1982 Jun;37(6):737-46. doi: 10.1016/s0015-0282(16)46331-4.
8
Hormonal management of endometriosis (danazol in particular).子宫内膜异位症的激素治疗(尤其是达那唑)。
Prog Clin Biol Res. 1982;112 Pt B:153-66.
9
Danazol in the treatment of endometriosis externa.达那唑治疗外在性子宫内膜异位症。
S Afr Med J. 1980 Oct 11;58(15):591-8.
10
Buserelin versus danazol in the treatment of endometriosis-associated infertility.布舍瑞林与达那唑治疗子宫内膜异位症相关性不孕的比较
Am J Obstet Gynecol. 1989 Oct;161(4):871-6. doi: 10.1016/0002-9378(89)90739-4.

引用本文的文献

1
Danazol in the treatment of infertility.达那唑治疗不孕症。
Drugs. 1980 May;19(5):362-9. doi: 10.2165/00003495-198019050-00006.
2
Medical treatment of endometriosis in infertile patients.不孕患者子宫内膜异位症的医学治疗。
Ir J Med Sci. 1983 Jun;152 Suppl 2:22-5. doi: 10.1007/BF02945277.
3
Luteinising hormone releasing hormone agonist in women with endometriosis.黄体生成素释放激素激动剂用于子宫内膜异位症女性患者。
Br Med J (Clin Res Ed). 1983 Dec 3;287(6406):1718-9. doi: 10.1136/bmj.287.6406.1718-c.
4
Tampon use in women with endometriosis.
J Community Health. 1985 Winter;10(4):215-25. doi: 10.1007/BF01371015.