期刊文献+

单纯子宫腺肌病病灶切除术后联合促性腺激素释放激素激动剂治疗子宫腺肌病的疗效分析 被引量:6

下载PDF
导出
摘要 目的对子宫腺肌病治疗中应用单纯子宫腺肌病病灶切除术后联合促性腺激素释放激素激动剂的临床疗效进行分析。方法选取子宫腺肌瘤患者50例,将50例患者随机分为两组,对照组24例接受单纯子宫腺肌病病灶切除术治疗,观察组26例在病灶切除术后于第1次月经时在第1—3天给予患者亮丙瑞林注射液治疗,隔28d治疗1次,连续治疗3次,对比两组临床疗效。结果两组患者治疗后痛经VAS评分均有显著下降,且观察组治疗后VAS评分显著低于对照组,治疗总有效率显著高于对照组,复发率显著低于对照组(P〈0.05)。结论在子宫腺肌病治疗中,单纯子宫腺肌病病灶切除术后联合促性腺激素释放激素激动剂可促使治疗效果显著提高,有效改善患者生活质量,值得在临床中推广。
作者 张蕾
出处 《中国实用医药》 2013年第31期65-66,共2页 China Practical Medicine
  • 相关文献

参考文献3

二级参考文献23

  • 1冷金花,郎景和.子宫腺肌病的手术治疗[J].实用妇产科杂志,2006,22(1):10-12. 被引量:108
  • 2孙鹏达,于晓鹏,杨逸尘,韩芳,孙淑杰.不同剂量促性腺激素释放激素激动剂治疗子宫腺肌病合并不孕的疗效分析[J].现代诊断与治疗,2007,18(1):25-26. 被引量:5
  • 3Wood C. Surgical and medical treatment of adenomyo sis [J]. Hum Repord Update, 1998, 4(4) :323 - 336.
  • 4Cynthia Farquhar, Ivo Brosens. Medical and surgical management of adenomyosis [ J ]. Best Pract Res Clin Obstet Gynecol,2006, 20 (4) : 603 -616.
  • 5Wang PH, Su WH, Sheu BC, et al. Adenomyosis and its variance: adenomyoma and female fertility [ J ]. Taiwan J Obstet Gynecol, 2009,48 (3) :232 - 238.
  • 6Fedele L, Bianchi S, Frontino G. Hormonal treatments for adenomyosis [ J ]. Best Pract Res Clin Obstet Gyneeol, 2008, 22 ( 2 ) :333 -339.
  • 7Marc B, Annie C, Emile D, et al. Ultrasonography compared with magnetic resonance imaging for the diagnosis of adenomyosis : correlation with histopathology [ J ]. Human Reproduction, 2001,16 ( 11 ) : 2427 - 2433.
  • 8Kitamura Y, Allison S J, Jha RC, et al. MRI of adenomyosis : changes with uterine artery embolization [ J ]. A JR Am J Roentgenol, 2006,186(3) :855 -864.
  • 9Dueholm M, Lundorf E. Transvaginal uhrasound or MRI for diagnosis of adenomyosis [J]. Curr Opin Obstet Gynecol, 2007,19 ( 6 ) : 505 -512.
  • 10Wang PH, Liu WM, Fuh JL, et al. Comparison of surgery alone and combined surgical-medical treatment in the management of symptom-atie uterine adenomyoma [ J ]. Fertility and Sterility, 2009,92 ( 3 ) : 876 - 885.

共引文献53

同被引文献48

  • 1张丽君,涂长玉,杨志永,童晓文,刘艳,张峰,肖永霞,宋维花,孔北华.腹腔镜下子宫动脉阻断术与促性腺激素释放激素激动剂治疗子宫腺肌病的研究[J].中华临床医师杂志(电子版),2011,5(16):4858-4861. 被引量:10
  • 2刘会玲,李明锦,王梅,王海琳.腹腔镜下手术联合不同药物治疗卵巢巧克力囊肿的疗效观察[J].实用癌症杂志,2014,29(3):357-358. 被引量:7
  • 3冷金花,郎景和.子宫腺肌病的手术治疗[J].实用妇产科杂志,2006,22(1):10-12. 被引量:108
  • 4子宫内膜异位症的诊断与治疗规范[J].中华妇产科杂志,2007,42(9):645-648. 被引量:563
  • 5谢幸,苟文丽,等.妇产科学[M].第8版,人民卫生出版社,2013,3:75.
  • 6Jang D, Kim MD, Lee S, et al. The effect of uterine artery embolization on premenstrual symptoms in patients with symptomatic flbroids or ad- enomyosis[ J]. J Vasc Interv Radiol,2014,25(6) :833-838.
  • 7Zhang X, Li K, Xie B, et al. Effective ablation therapy of adenomyosis with ultrasound-guided high-intensity focused ultrasound [ J ]. Int J Gynaecol Obstet ,2014,124 ( 3 ) :207-211.
  • 8Zhang P,Song K,Li L,et al.Efficacy of combined levonorgestrel-releasing intrauterine system with gonadotropin-releasing hormone analog for the treatment of adenomyosis.Medical principles and practice:international journal of the Kuwait University[J].Health Science Centre,2012,22(5):480-483.
  • 9Mo Y,Peng P,Zhou R,et al.Regulation of gonadotropin?偍hreleasinghormone(GnRH)receptor expression in the pituitary and ovaryby a GnRH agonist and antagonist[J].Reprod Sci,2010,17(1):68-77.
  • 10Strowitzki T,Marr J,Gerlinger C,et al.Detailed analysis of a randomized,multicenter,comparative trial of dienogest versus leuprolide acetate in endometriosis[J].Int J Gynecol Obstet,2012,117(3):228-233.

二级引证文献39

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部