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达那唑治疗重度子宫内膜异位症的效果

Effects of danazol in the treatment of severe endometriosis.

作者信息

Rönnberg L, Ylöstalo P, Järvinen P A

出版信息

Postgrad Med J. 1979;55 Suppl 5:21-6.

PMID:537949
Abstract

Twenty patients, mostly with severe endometriosis and infertility, were treated with danazol 600 mg daily for six months. Clinical investigation and laboratory tests were done monthly. During treatment most clinical findings and symptoms of endometriosis disappeared within 2 to 3 months, but rectocervical induration and rectocervical pain decreased more slowly. During the 10 months follow-up after discontinuation of danazol, dysmenorrhoea recurred most commonly of all symptoms, but not to the same degree as before treatment and the patients were mainly satisfied. Gonadotrophin and prolactin levels did not alter significantly during treatment. Serum oestradiol and progesterone values were low during the danazol course. Testosterone values increased because of cross-reaction with danazol metabolites in the testosterone assay. Serum transaminase, creatinine, haemoglobin and blood platelet concentrations increased on average, but the changes were reversible. Three conceptions occurred during the period of study.

摘要

20名患者,多数患有严重子宫内膜异位症且不孕,接受了每日600毫克达那唑治疗,为期6个月。每月进行临床检查和实验室检测。治疗期间,多数子宫内膜异位症的临床体征和症状在2至3个月内消失,但直肠宫颈硬结和直肠宫颈疼痛缓解较慢。在停用达那唑后的10个月随访期间,痛经是所有症状中最常复发的,但程度不如治疗前,患者总体较为满意。治疗期间促性腺激素和催乳素水平无显著变化。达那唑疗程中血清雌二醇和孕酮值较低。由于睾酮检测中与达那唑代谢产物的交叉反应,睾酮值升高。血清转氨酶、肌酐、血红蛋白和血小板浓度平均升高,但这些变化是可逆的。研究期间有3例怀孕。

相似文献

1
Effects of danazol in the treatment of severe endometriosis.达那唑治疗重度子宫内膜异位症的效果
Postgrad Med J. 1979;55 Suppl 5:21-6.
2
Hormonal, metabolic and clinical effects of danazol in the treatment of endometriosis.达那唑治疗子宫内膜异位症的激素、代谢及临床效应
Postgrad Med J. 1979;55 Suppl 5:14-20.
3
[Clinical experience with danazol treatment of endometriosis and mastopathy].[达那唑治疗子宫内膜异位症和乳腺病的临床经验]
Wien Klin Wochenschr. 1981 Oct 16;93(19):595-9.
4
Clinical and biochemical experiences with danazol in the treatment of endometriosis in cases with female infertility.达那唑治疗女性不孕症患者子宫内膜异位症的临床及生化经验。
Postgrad Med J. 1979;55 Suppl 5:27-32.
5
Follow-up of patients with endometriosis treated with danazol.用达那唑治疗的子宫内膜异位症患者的随访
Postgrad Med J. 1979;55 Suppl 5:44-7.
6
Medical treatment of endometriosis: a comparative trial.子宫内膜异位症的医学治疗:一项对比试验。
Postgrad Med J. 1979;55 Suppl 5:37-9.
7
Changes of plasma lipids and lipoprotein levels during danazol treatment for endometriosis.达那唑治疗子宫内膜异位症期间血浆脂质和脂蛋白水平的变化。
Horm Metab Res. 1984 Nov;16(11):593-7. doi: 10.1055/s-2007-1014859.
8
[Effectiveness of therapy of endometriosis with danazol and chlormadinone acetate and their effect on paraclinical parameters].
Zentralbl Gynakol. 1986;108(6):341-6.
9
[The new synthetic gestagen danazol in the treatment of endometriosis, fibrosystic disease of the breast and prolonged primary infertility (author's transl)].新型合成孕激素达那唑治疗子宫内膜异位症、乳腺纤维囊性疾病及原发性长期不孕(作者译)
Geburtshilfe Frauenheilkd. 1978 Nov;38(11):932-40.
10
LRF and TRF test during long-term danazol treatment: increase of the LH and FSH responses but decrease of the prolactin and TSH responses.长期达那唑治疗期间的促性腺激素释放激素(LRF)和促甲状腺激素释放激素(TRF)试验:促黄体生成素(LH)和促卵泡生成素(FSH)反应增强,但催乳素和促甲状腺激素(TSH)反应减弱。
Acta Endocrinol (Copenh). 1983 Sep;104(1):1-5.

引用本文的文献

1
Danazol in the treatment of endometriosis.达那唑治疗子宫内膜异位症。
Drugs. 1980 May;19(5):331-41. doi: 10.2165/00003495-198019050-00002.