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不同剂量米非司酮联合曲普瑞林治疗子宫肌瘤的效果

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目的 分析不同剂量米非司酮联合曲普瑞林治疗子宫肌瘤的效果。方法 选取丹巴长征骨科医院妇科 2022 年 1-12 月收治的80例子宫肌瘤患者,采用随机数字法分为2组,各40例。对照组实施曲普瑞林注射液与常规剂量米非司酮片治疗,观察组实施曲普瑞林注射液与低剂量米非司酮片治疗。分析 2 组患者治疗效果、血清性激素水平、子宫及肌瘤体积。结果 观察组患者治疗总有效率为 97。50%(39/40),对照组为 77。50%(31/40),观察组患者治疗总有效率高于对照组(P<0。05)。观察组患者治疗后雌二醇(estradiol,E2)、孕酮(progesterone,P)、黄体生成素(luteinizing-hormone,LH)、促卵泡激素(follicle-stimulating-hormone,FSH)均低于对照组(P<0。05)。观察组治疗后子宫和肌瘤体积均小于对照组(P<0。05)。结论 不同剂量的米非司酮联合曲普瑞林治疗子宫肌瘤可以显著提高治疗的总有效率,调节患者的内分泌水平,并减小子宫和肌瘤的体积。
The Effect of Different Doses of Mifepristone Combined With Triptorelin in the Treatment of Uterine Fibroids
Objective To analyze the efficacy of different doses of mifepristone combined with triptorelin in the treatment of uterine fibroids.Methods A total of 80 patients with uterine fibroids admitted to the department of gynecology,Danba Changzheng Orthopedics Hospital from January to December 2022 were selected and randomly divided into two groups,each with 40 cases.The control group received treatment with triptorelin injection and conventional dose mifepristone tablets,while the observation group received treatment with triptorelin injection and low-dose mifepristone tablets.The treatment efficacy,serum sex hormone levels,and uterine and fibroid volume of two groups of patient were analyzed.Results The total effective rate of treatment in the observation group was 97.50%(39/40),while in the control group was 77.50%(31/40),the total effective rate of treatment in the observation group was higher than that in the control group(P<0.05).After treatment,the levels of estradiol(E2),progesterone(P),luteinizing hormone(LH),and follicle stimulating hormone(FSH)in the observation group were lower than those in the control group(P<0.05).After treatment,the volume of the uterus and fibroids in the observation group was smaller than that in the control group(P<0.05).Conclusion The combination of different doses of mifepristone and triptorelin can significantly improve the total effective rate of treatment for uterine fibroids,regulate the patient's endocrine level,and reduce the volume of the uterus and fibroids.

uterine fibroidsdifferent dosesmifepristonetriptorelintreatmenteffect

李梅、邹明

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丹巴长征骨科医院妇科,四川 丹巴 626700

川投西昌医院妇科,四川 西昌 615000

子宫肌瘤 不同剂量 米非司酮 曲普瑞林 治疗 效果

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(5)
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