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子宫内膜异位症的治疗:药物治疗研究

Treatment of endometriosis: a study of medical management.

作者信息

Noble A D, Letchworth A T

出版信息

Br J Obstet Gynaecol. 1980 Aug;87(8):726-8. doi: 10.1111/j.1471-0528.1980.tb04607.x.

DOI:10.1111/j.1471-0528.1980.tb04607.x
PMID:7426534
Abstract

Fifty patients with endometriosis were treated with hormones: 27 with danazol and 23 with Enavid (mestranol 75 micrograms and norethynodrel 5 mg). Side effects were more common and potentially more serious in the group treated with Enavid. Fewer women completed treatment with Enavid and their physical signs showed little improvement. Danazol was better tolerated and the results of treatment, as judged by improvement of symptoms or signs and in future fertility rates, were superior to those recorded in the Enavid treated group. Patients with large endometriotic cysts or severe fibrosis did not benefit from medical treatment. Danazol treatment appeared helpful for women who had mild or moderate endometriotic disease. It may be used alone or as a complimentary treatment after conservative surgical operations.

摘要

五十名子宫内膜异位症患者接受了激素治疗

27名使用达那唑,23名使用炔雌醇甲醚(炔雌醇75微克和异炔诺酮5毫克)。在使用炔雌醇甲醚治疗的组中,副作用更常见且可能更严重。完成炔雌醇甲醚治疗的女性较少,且她们的体征改善甚微。达那唑的耐受性更好,从症状或体征的改善以及未来生育率判断,治疗效果优于炔雌醇甲醚治疗组。患有大的子宫内膜异位囊肿或严重纤维化的患者未从药物治疗中获益。达那唑治疗似乎对患有轻度或中度子宫内膜异位症的女性有帮助。它可单独使用或在保守性手术后作为辅助治疗。

相似文献

1
Treatment of endometriosis: a study of medical management.子宫内膜异位症的治疗:药物治疗研究
Br J Obstet Gynaecol. 1980 Aug;87(8):726-8. doi: 10.1111/j.1471-0528.1980.tb04607.x.
2
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.
3
Preliminary observations on the use of danazol in endometriosis compared to oestrogen/progestogen combination therapy.与雌激素/孕激素联合疗法相比,达那唑治疗子宫内膜异位症的初步观察
J Int Med Res. 1977;5 Suppl 3:79-80.
4
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.
5
The effectivenss of danazol on subsequent fertility in minimal endometriosis.达那唑对轻度子宫内膜异位症患者后续生育能力的有效性。
Fertil Steril. 1982 Nov;38(5):534-7. doi: 10.1016/s0015-0282(16)46630-6.
6
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.
7
Effects of the antifertility drug enovid in five strains of mice, with particular regard to carcinogenesis.抗生育药物异炔诺酮对五品系小鼠的影响,尤其涉及致癌作用。
J Natl Cancer Inst. 1973 Jul;51(1):209-24. doi: 10.1093/jnci/51.1.209.
8
Gestrinone versus danazol in the treatment of endometriosis.孕三烯酮与达那唑治疗子宫内膜异位症的比较。
Fertil Steril. 1989 May;51(5):781-5. doi: 10.1016/s0015-0282(16)60666-0.
9
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.
10
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.

引用本文的文献

1
Progesterone receptor modulators for endometriosis.用于子宫内膜异位症的孕激素受体调节剂。
Cochrane Database Syst Rev. 2017 Jul 25;7(7):CD009881. doi: 10.1002/14651858.CD009881.pub2.
2
Progestagens and anti-progestagens for pain associated with endometriosis.用于治疗子宫内膜异位症相关疼痛的孕激素和抗孕激素。
Cochrane Database Syst Rev. 2012 Mar 14;2012(3):CD002122. doi: 10.1002/14651858.CD002122.pub2.
3
A risk benefit assessment of drugs used in the treatment of endometriosis.用于治疗子宫内膜异位症药物的风险效益评估。
Drug Saf. 1994 Aug;11(2):104-13. doi: 10.2165/00002018-199411020-00005.
4
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.
5
Endometriosis. Current concepts in pathogenesis and treatment.子宫内膜异位症。发病机制与治疗的当前概念。
Drugs. 1983 Nov;26(5):460-4. doi: 10.2165/00003495-198326050-00005.