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34例有症状的子宫肌瘤患者,在月经来潮的第一天或第二天开始,每天肌注GnRH-A200ug或500ug,共三个月.结果:B超检查子宫的平均体积从205.39±235.28cm3下降为125.06±73.39cm3,缩小46%(P<0.05);肌瘤平均体积从58.15±60.79cm3减至29.44±39.11cm3,缩小49%(P<0.05).血清E2浓度从611.02±268.16umol/L,下降至309.00±211.30pmol/L(P<0.05).E2水平的降低与子宫肌瘤的缩小相一致。同时临床症状明显改善。5例原发不育者,治疗后2例妊娠.1例围绝经期病人用药后诱使绝经,但其余病例在停药后复发.故认为GnRH-A对治疗围绝经和伴不育的子宫肌瘤患者为好.
Thirty-four patients with symptomatic uterine fibroids started either daily with or without GnRH-A 200ug or 500ug daily for three months starting on the first or second day of menstrual flow. Results: The average size of the uterus in B ultrasound examination decreased from 205.39 ± 235.28cm3 to 125.06 ± 73.39cm3, 46% smaller (P <0.05). The average volume of fibroids was 58.15 ± 60.79cm3 Reduced to 29.44 ± 39.11cm3, reduced by 49% (P <0.05). Serum E2 concentration decreased from 611.02 ± 268.16umol / L to 309.00 ± 211.30pmol / L (P <0.05). The reduction of E2 level is consistent with the reduction of uterine fibroids. At the same time significantly improved clinical symptoms. 5 cases of primary infertility, 2 cases of pregnancy after treatment. One patient perimenopausal patients induced postmenopausal medication, but the rest of the cases relapsed after stopping. Therefore, GnRH-A treatment of perimenopausal and infertility patients with uterine fibroids as well.