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达那唑治疗外在性子宫内膜异位症。

Danazol in the treatment of endometriosis externa.

作者信息

van Zyl J A, Muller M A, van Niekerk W A

出版信息

S Afr Med J. 1980 Oct 11;58(15):591-8.

PMID:6999637
Abstract

Thirty-six women with endometriosis externa were treated with danazol (Ladogar; Winthrop Laboratories, Division of Sterling Drug (SA) (Pty) Ltd) for 6 months. In 15 cases treatment was combined with conservative surgery. Of these patients 34 presented with the complaint of infertility. The results were evaluated by means of repeat laparoscopy and biopsy. Of 21 patients treated with danazol only 9 (42,9%) were completely healed, and 10 (47,6%) showed a good response, giving an overall response of 90,5% and a corrected conception rate of 52,9%. Of the 15 patients who were treated with danazol combined with conservative surgery, 9 (60%) have completely healed, and 3 had a recurrence of endometriosis. This group had a corrected pregnancy rate of 30,8%. The majority of conceptions (61,5%) occurred during the first 6 months after treatment, 92,3% within the 1st year and 1 a year after conclusion of treatment. Of the 13 conceptions, 11 were successful, 1 ended in an abortion and 1 in an ectopic pregnancy, and 1 small-for-gestational-age infant was delivered.

摘要

36例外在性子宫内膜异位症女性患者接受了达那唑(Ladogar;斯特林药物(南非)有限公司温思罗普实验室生产)治疗6个月。其中15例患者的治疗结合了保守手术。这些患者中有34例主诉不孕。通过重复腹腔镜检查和活检对结果进行评估。在仅接受达那唑治疗的21例患者中,9例(42.9%)完全治愈,10例(47.6%)反应良好,总体有效率为90.5%,校正受孕率为52.9%。在接受达那唑联合保守手术治疗的15例患者中,9例(60%)完全治愈,3例子宫内膜异位症复发。该组校正妊娠率为30.8%。大多数妊娠(61.5%)发生在治疗后的前6个月内,92.3%发生在第1年内,1例发生在治疗结束1年后。在13例妊娠中,11例成功,1例流产,1例异位妊娠,1例分娩出小于孕周的婴儿。

相似文献

1
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.
2
Endometriosis and infertility. A review of sixty-two patients with danazol.子宫内膜异位症与不孕。62例使用达那唑治疗患者的回顾。
Postgrad Med J. 1979;55 Suppl 5:10-3.
3
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.
4
[Drug therapy of endometriosis].
Gynakologe. 1988 Mar;21(1):52-7.
5
Danazol in the treatment of endometriosis and infertility.达那唑治疗子宫内膜异位症和不孕症。
Prog Clin Biol Res. 1982;112 Pt B:167-86.
6
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.
7
[A study on the diagnosis and treatment of the infertile patient with endometriosis externa by scoring].
Nihon Sanka Fujinka Gakkai Zasshi. 1987 Jun;39(6):987-94.
8
Treatment of endometriosis with an antigonadotropin, Danazol. A laparoscopic and histologic evaluation.
Obstet Gynecol. 1975 Aug;46(2):147-54.
9
[Laparoscopic diagnosis and evaluation of danazol or gestrinone therapy for endometriosis in sterility].[腹腔镜诊断及评估达那唑或孕三烯酮治疗不育症患者子宫内膜异位症的疗效]
Nihon Sanka Fujinka Gakkai Zasshi. 1988 Apr;40(4):459-66.
10
[Danazol therapy of infertile patients with endometriosis externa].[用达那唑治疗外部性子宫内膜异位症的不孕患者]
Orv Hetil. 1987 Mar 29;128(13):687-9.

引用本文的文献

1
The treatment of mild endometriosis with laser laparoscopy: a two-step treatment analysis of patients whose primary therapy was successful.激光腹腔镜治疗轻度子宫内膜异位症:对初始治疗成功患者的两步治疗分析
JSLS. 2006 Jan-Mar;10(1):30-6.
2
The success of laser laparoscopy in the treatment of endometriosis: a two-step analysis.激光腹腔镜检查术治疗子宫内膜异位症的疗效:两步分析
JSLS. 2001 Jan-Mar;5(1):21-7.
3
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.