肿瘤预防与治疗2019,Vol.32Issue(2):130-138,9.DOI:10. 3969/j. issn. 1674-0904. 2019. 02. 005
子宫肌瘤患者血清性激素水平的Meta分析
A Meta Analysis of Serum Sex Hormone in Patients with Uterine Fibroids
摘要
Abstract
Objective: To systematically evaluate the differences in serum estrogen, progesterone, follicular stimulating hormone (FSH) and luteinizing hormone (LH) between patients with uterine fibroids and those without uterine fibroids, pro-viding a basis for risk assessment, clinical diagnosis and treatment of uterine fibroids. Methods: Relevant articles published in Pubmed, CNKI, Wanfang and VIP databases since 1995 were searched by computer. Quality of the selected articles was evaluated according to the Newcastle-Ottawa Scale. RevMan 5. 3 was used to draw forest plots, and Stata 12. 0 was used for influence analysis and publication bias evaluation. Results: Seventeen studies, comprising 1,549 cases of uterine fibroids and 863 cases in control group, were included. SMD and 95% CI were calculated. The results showed that serum FSH (SMD 0. 34, 95% CI:0. 10~0. 59,P=0. 006) and LH (SMD=0. 40, 95% CI: 0. 24~0. 55,P< 0. 001) in patients with uterine fibroids in follicular phase were higher than those in the control group, and that there were no statistically significant differ- ences between the two groups in serum estrogen and progesterone in follicular phase and serum estrogen, progesterone, FSH and LH in luteal phase. Conclusion:Women with higher serum FSH and LH during follicular phase risk higher incidence of uterine fibroids. The incidence of u- terine fibroids is not correlated to serum estrogen and progesterone in follicular phase and serum estrogen, progesterone, FSH and LH in luteal phase.关键词
子宫肌瘤/性激素/雌激素/孕激素/卵泡刺激素/黄体生成素/Meta分析Key words
Uterine fibroids/ Sex hormone/ Estrogen/ Progesterone/ Follicle stimulating hormone (FSH)/ Luteinizing hormone (LH)/ Meta-analysis分类
医药卫生引用本文复制引用
Zhang Ying,Wu Xiao,Li Jie,Ren Pingping,Zhao Xuxu,Ge Li,Wang Huiyan,Zhao Weidong..子宫肌瘤患者血清性激素水平的Meta分析[J].肿瘤预防与治疗,2019,32(2):130-138,9.基金项目
安徽省公益性研究联动计划项目(编号:1604f0804010) This study was supported by Commonweal Research Project of Anhui Province (NO. 1604f0804010). (编号:1604f0804010)