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在淋巴瘤患者中保持卵巢内分泌功能:系统性审查
Hebatallah Ahmed Mohamed Moustafa1, Al Shaimaa Ibrahim Rabie2,3,4, Ahmed Abdullah Elberry5
1Clinical Pharmacy and Pharmacy Practice Department, Office: 319, Faculty of Pharmacy, Badr University in Cairo, Badr City, Cairo 11829, Egypt.
Therapeutic advances in chronic disease
|July 28, 2025
概括
腺激素释放激素激动剂 (GnRH-a) 在接受化疗的淋巴瘤患者的卵巢功能和生育能力的保护方面表现有前途. 这一系统性审查表明,GnRH-a的联合使用改善了结果,支持其在生育保护策略中的使用.
科学领域:
- 在瘤学瘤学.
- 生殖内分泌学 生殖内分泌学
- 临床药理学 临床药理学
背景情况:
- 淋巴瘤治疗,包括化疗,可以导致过早的卵巢衰竭.
- 卵巢损伤显著影响了女性淋巴瘤幸存者的生殖健康.
研究的目的:
- 为了比较性腺激素释放激素激动剂 (GnRH-a) 对淋巴瘤妇女的生育能力和卵巢保护作用与化疗.
- 评估GnRH-a在减轻化疗引起的卵巢毒性中的作用.
主要方法:
- 对前性临床试验进行系统审查,比较淋巴瘤患者的并发化疗和GnRH-a与单独化疗.
- 搜索了包括PubMed,Web of Science和Scopus在内的数据库,直到2025年4月.
- 评估结果,如周期性卵巢功能,怀孕率和激素水平 (FSH,LH,雌激素,AMH) 使用Cochrane的偏差风险工具.
主要成果:
- 分析了12项涉及733名女性的试验.
- GnRH-a的使用与更高的周期性卵巢功能和怀孕率有关.
- 与对照组相比,接受GnRH-a的患者表现出较低的FSH和更高的AMH水平.
结论:
- 在化疗期间同时服用GnRH-a,对淋巴瘤患者的卵巢损伤产生保护作用.
- 将GnRH-α纳入生育保护策略可能会改善长期的生殖健康.
- 需要进一步的大规模研究来规范方案并确认有效性.
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