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1、12目錄一、中文摘要····················································(3)二、英文摘要····················································(4)三、英文縮略詞對照表·········································(5)四、正文·························································(6)前言·················································
2、··········(6)1、材料和方法···············································(9)2、結(jié)果·····················································(13)3、討論·····················································(21)4、結(jié)論·····················································(24)5、參考文獻(xiàn)····································
3、···········(25)五、致謝·······················································(28)六、綜述·······················································(29)3GnRH激動劑對絕經(jīng)前乳腺癌患者卵巢功能的保護:Meta分析中文摘要一、目的系統(tǒng)評價GnRH激動劑對絕經(jīng)前乳腺癌患者卵巢功能的保護作用。二、方法計算機檢索PubMed、MEDLINE(通過OVID平臺檢索)、CENTRAL(TheCoehraneCentralRegisterofControlledTri
4、als)和CBM、CNKI、VIP、萬方等數(shù)據(jù)庫。收集絕經(jīng)前乳腺癌患者輔助化療聯(lián)合GnRH-a的隨機對照試驗,采用Stata11.2軟件對資料進行Meta分析。三、結(jié)果共納入7篇文章,8個研究,677例患者。Meta分析結(jié)果顯示,GnRH-a聯(lián)合輔助化療與單純輔助化療相比,月經(jīng)復(fù)潮率的合并OR值為2.83(95%CI:1.525.25),差異有統(tǒng)計學(xué)意義。四、結(jié)論與單純輔助化療相比較,聯(lián)合GnRH-a輔助化療對絕經(jīng)前女性患者的卵巢功能具有一定的保護作用?!娟P(guān)鍵詞】Meta分析,乳腺癌,卵巢功能,GnRH,隨機對照試驗4Gonadotropin-releasingHormoneAnal
5、ogCotreatmentForThePreservationofOvarianFunctionDuringGonadotoxicChemotherapyForBreastCancer:AMeta-AnalysisABSTRACTOBJECTIVE:Todeterminewhethergonadotropin-releasinghormone(GnRH)analogcotreatmentwithchemotherapyforbreastcancerprovidesbetterreproductiveoutcomesforwomenatriskofprematureovarianfai
6、lure(POF)asaside-effectofgonadotoxicchemotherapybymeta-analysis.METHODS:Randomizedcontrolledtrials(RCTs)comparingGnRHcotreatmentwithchemotherapyaloneinpremenopausalwomeninthefollowingelectronicdata-bases:Pubmed,MEDLINE(OVID),CENTRAL(TheCoehraneCentralRegisterofControlledTrials),CBM,CNKI,VIP,and
7、Wanfangdatabaseweresearched.AllthedatawereanalyzedbyStata11.2.RESULTS:Sevenstudiesinvolvingatotalof677participantsmettheinclusioncriteria.Theoutcomesofmeta-analysisimpliedthat:Comparedwithadjuvantchemotherapyalone,theincidenceofsp