The place of Zoladex(R) in deferred surgery for uterine fibroids

The place of Zoladex(R) in deferred surgery for uterine fibroids
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DOI:
10.1159/000184806
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发表时间:
1996-06-01
期刊:
影响因子:
--
通讯作者:
Dalton, E
Dalton, E
中科院分区:
其他
文献类型:
--
作者:
Gerris, J;Degueldre, M;Dalton, E

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247例子宫肌瘤患者被随机分为单独手术组和服用3个月唑拉德(R)组(Zeneca, Macclesfield, Ches)。(英国),然后进行手术。唑拉地克显著减少子宫和肌瘤体积(p = 0.0001)。与单纯手术组(0.3 g/dl)相比,Zoladex组从入组到术前血红蛋白的平均升高(1 g/dl)显著(p = 0.002),而且更容易手术,手术失血量减少。该组患者的住院时间明显缩短(p = 0.016),盆腔疼痛和腹压症状明显减轻(p < 0.0001)。Zoladex耐受性良好。
Two hundred and forty-seven patients with uterine fibroids were randomized to surgery alone or 3 months' Zoladex(R) (Zeneca, Macclesfield, Ches., UK) followed by surgery. Zoladex significantly reduced uterine and fibroid volumes (p = 0.0001). There was a significantly (p = 0.002) greater mean rise in haemoglobin from entry to preoperation in the Zoladex group (1 g/dl) compared with the surgery-alone group (0.3 g/dl) as well as a tendency towards easier surgery, and reduced operative blood loss. Zoladex-treated patients had a significantly (p = 0.016) shorter hospital stay and pelvic pain and abdominal pressure symptoms were significantly (p < 0.0001) reduced in this group. Zoladex was well tolerated.