臨床婦人科産科74巻6号

2020年06月発行

今月の臨床 外来でみる子宮内膜症診療―患者特性に応じた管理・投薬のコツ ライフステージに応じた患者への対応

循環器疾患リスクを考慮した子宮内膜症の治療戦略とは

著者： 若槻明彦¹

所属機関： ¹愛知医科大学産婦人科学講座

ページ範囲：P.589 - P.594

●子宮内膜症女性では，炎症の活性化，内因性抗酸化因子の減少，内因性NOS抑制物質の上昇により，血管内皮機能は低下している．

●子宮内膜症女性は心血管疾患の高リスクであることが臨床試験で証明されている．

●OC・LEPは脂質や血管内皮機能の改善効果があるが，子宮内膜症女性の心血管疾患の予防に効果的であるか否かはさらなる検討が必要である．

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