中国药物警戒 ›› 2022, Vol. 19 ›› Issue (6): 465-468.
DOI: 10.19803/j.1672-8629.2022.06.24

• 综述 •    下一篇

子宫平滑肌瘤的治疗药物研究进展

余娅1, 彭昌盛1,2Δ, 崔陶1,*   

  1. 1四川大学华西第二医院妇产科,出生缺陷与相关妇儿疾病教育部重点实验室,四川 成都 610041;
    2成都市妇女儿童中心医院妇产科,四川 成都 610091
  • 收稿日期:2021-12-24 出版日期:2022-06-15 发布日期:2022-06-13
  • 通讯作者: * 崔陶,女,博士·硕导,副主任医师,妇产科学。E-mail: cuitao8012@163.com
  • 作者简介:余娅,女,硕士,医师,妇产科学。Δ为并列第一作者。
  • 基金资助:
    国家重点研发计划(2021YFC2009100); 国家重点研发计划(2020YFC2005600); 四川省科技厅重点研发项目(2020YFS0206)

Review of drugs on uterine leiomyomas

YU Ya1, PENG Changsheng1,2Δ, CUI Tao1,*   

  1. 1Department of Gynecology and Obstetrics, West China Second University Hospital, Sichuan University, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu Sichuan 610041, China;
    2Department of Gynecology and Obstetrics, Chengdu Women's and Children's Central Hospital, Chengdu Sichuan 610091, China
  • Received:2021-12-24 Online:2022-06-15 Published:2022-06-13

摘要: 子宫平滑肌瘤是妇科最常见的良性肿瘤之一。目前对子宫肌瘤唯一的治愈方式是手术治疗,手术治疗包括子宫肌瘤切除术、全子宫切除术以及次全子宫切除术。手术不可避免地降低了生育能力,并增加了妊娠及妊娠后的产科风险。此外,由于部分子宫肌瘤可能病情稳定或在绝经后萎缩、变小,使得部分患者尤其是有生育需求的患者更倾向于非手术治疗。本文概述了目前临床上治疗子宫平滑肌瘤的常用药物及实验研究中突显出可能具有治疗希望的药物治疗方案,以期对临床治疗工作提供参考。

关键词: 子宫平滑肌瘤, 药物治疗, 醋酸乌利司他

Abstract: Uterine leiomyomas (fibroids) is one of the most common gynecological tumors. At present, the most effective cure method for uterine fibroids is surgery. Surgical approach includes hysteromyomectomy, total hysterectomy and subtotal hysterectomy. Surgery inevitably reduces fertility and increases the obstetrical risks. In addition, because some uterine fibroids may shrink and become smaller after menopause, which makes some patients with childbearing aspiration choosing non-surgical treatments. This article summarizes the currently commonly used drugs in clinical practice and treatments that may be promising in clinical application.

Key words: uterine leiomyomas (fibroids), drug therapy, ulipristal acetate

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