子宮筋腫患者に対する子宮全摘術前酢酸リュープロレリン療法の検討

概要

論文の詳細を見る
The objective of this study was to examine whether patients became candidates for laparoscopically assisted vaginal hysterectomy (LAVH) when leuprorelin acetate was preoperatively administered to patients with large uterine myomas that seemed to require total abdominal hysterectomy (preoperative LP group), and to compare the results with those in patients who underwent LAVH alone during the same period (LAVH group). Although the preoperative LP group had significantly larger myomas than the LAVH group prior to treatment, a marked reduction in size was achieved through administration of leuprorelin, and the volume of the myoma after administration was not significantly different from the volume in the LAVH group. Thus, all patients in the preoperative LP group became suitable for LAVH or vaginal hysterectomy, suggesting the usefulness of preoperative administration of leuprorelin acetate.
社団法人日本産科婦人科学会の論文
2002-12-01