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亮丙瑞林治疗对性早熟女童性激素水平及子宫、卵巢容积的影响▲
Effects of leuprorelin on sex hormone levels, uterine and ovarian volumes in sexual precocity girls

内科 202015卷05期 页码:532-534

作者机构:洛阳市妇幼保健院儿童保健科,河南省洛阳市471000

基金信息:▲基金项目:2019年度河南省医学科技攻关计划联合共建项目(LHGJ20190916)

DOI:DOI:10.16121/j.cnki.cn45-1347/r.2020.05.06

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目的探讨亮丙瑞林治疗对性早熟女童性激素水平及子宫、卵巢容积的影响。方法选取2018年12月至2020年1月我院收治的性早熟女童160例作为研究对象,采用随机数字法分为对照组和观察组,每组80例。对照组患儿口服醋酸甲地孕酮治疗,观察组患儿皮下注射亮丙瑞林治疗,疗程3个月。检测比较两组患儿治疗前后的性激素水平、子宫容积、卵巢容积及卵泡直径。结果治疗前,两组患儿的促黄体生成素(LH)、促卵泡激素(FSH)、雌二醇(E2)水平比较,差异无统计学意义(P>0.05);治疗3个月后,两组患儿的LH、FSH、E2水平均显著降低,观察组患儿的水平显著低于对照组,差异有统计学意义(P<0.05)。治疗前,两组患儿的子宫容积、卵巢容积、卵泡直径比较,差异无统计学意义(P>0.05);治疗3个月后,两组患儿的子宫容积、卵巢容积、卵泡直径均显著缩小,观察组患儿的容积、直径均显著小于对照组,差异有统计学意义(P<0.05)。结论亮丙瑞林治疗能有效抑制性早熟女童的性激素的分泌,延缓其子宫和卵巢的发育,减轻患儿病情。
ObjectiveTo investigate the effect of leuprorelin on sex hormone levels, uterine and ovarian volumes in sexual precocity girls. MethodsA total of 160 cases of sexual precocity girls admitted to our hospital from December 2018 to January 2020 were selected as the research objects, and they were divided into control group and observation group according to the random number method, with 80 cases in each group. The control group was treated with megestrol acetate, whereas the observation group was administrated leuprorelin for treatment, for a three-month treatment course. The levels of sex hormones, uterine volumes, ovarian volumes, and follicle diameters before and after treatment were compared between the two groups. ResultsBefore treatment, there were no statistically significant differences in the levels of luteinizing hormone (LH), follicle stimulating hormone (FSH), and estradiol (E2) between the two groups (P>0.05). After 3 months of treatment, the levels of LH, FSH, and E2 in the two groups significantly decreased, and the levels mentioned above in the observation group were significantly lower than those in the control group, with statistically significant differences (P<0.05). Before treatment, there were no statistically significant differences in uterine volumes, ovarian volumes, and follicle diameters between the two groups (P>0.05). After 3 months of treatment, the uterine volumes, ovarian volumes, and follicle diameters of the two groups significantly reduced, the volumes and diameters of the observation group were significantly smaller than those of the control group, with statistically significant differences (P<0.05). ConclusionLeuprorelin can effectively inhibit the secretion of sex hormones in sexual precocity girls, delay the development of uterine and ovarian, and alleviate the condition of the girls.

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