子宫肌瘤药物治疗

摘要

There is no effective medical therapy to date. GnRHa are useful pre-operatively. Aromatase inhibitors and SEHM may be useful in postmenopaus-al woman with symptomatic myoma. Low-dose mife-pristone is a relatively cheap drug with minimal side-effects . The use of Levonorgestrel-releasing intrauter-ine system has been shown to reduce menstrual blood loss with idiopathic menorrhagia or menorrhagia due to leiomyomas.%目前尚无治疗子宫肌瘤的有效药物.促性腺激素释放激素激动剂(GnRHa)能改善术前贫血症状,但费用高并可导致低雌激素状态.芳香化酶抑制剂和选择性雌激素受体调节剂(SERM)在绝经后有症状的子宫肌瘤治疗中有效.使用米非司酮治疗,闭经率高,副反应小.左炔诺孕酮宫内节育系统(LNG-IUS)可治疗子宫肌瘤合并月经过多.