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目的:探讨不同剂量米非司酮治疗子宫肌瘤的效果。方法:随机将2015年6月~2016年6月收治的92例子宫肌瘤患者分为两组,每组46例。对照组采用大剂量米非司酮治疗,观察组采用小剂量米非司酮治疗。比较两组临床治疗效果。结果:观察组子宫肌瘤体积、卵泡刺激素(FSH)、黄体生成素(LH)、雌二醇(E2)、孕激素(P)水平及不良反应发生率均明显优于对照组,差异有统计学意义(P<0.05);观察组血红蛋白水平、闭经发生率等差异无统计学意义(P>0.05)。结论:小剂量米非司酮治疗子宫肌瘤效果理想,能够明显减少肌瘤体积,且安全可靠,值得临床中推广应用。
Objective: To investigate the effect of different doses of mifepristone on uterine fibroids. Methods: 92 cases of uterine fibroids were randomly divided into two groups (46 cases in each group) from June 2015 to June 2016. The control group with high-dose mifepristone treatment, the observation group treated with low-dose mifepristone. Compare the clinical treatment effect of two groups. Results: The volume of uterine fibroids, the levels of FSH, LH, E2 and progesterone in observation group were significantly higher than those in control group (P <0.05). There was no significant difference in hemoglobin level and amenorrhea rate in the observation group (P> 0.05). Conclusion: The low dose of mifepristone treatment of uterine fibroids ideal effect, can significantly reduce the size of fibroids, and safe and reliable, it is worth promoting the clinical application.