Medical Treatment of Benign Prostatic Hyperplasia - PowerPoint PPT Presentation

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Medical Treatment of Benign Prostatic Hyperplasia

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Title: Medical Treatment of Benign Prostatic Hyperplasia Author: Hsiao-Jen Chung Last modified by: user Created Date: 6/26/2005 12:52:34 AM Document presentation format – PowerPoint PPT presentation

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Title: Medical Treatment of Benign Prostatic Hyperplasia


1
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2
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10
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  • 30????????????????????,????????,?????
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20
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  • ??????(????????),?????????????

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Normal men1
Late menopausal women1
Early menopausal women1
AI therapy in PMW2
Bone marrow transplant3
Androgen-deprivation therapy4
AI therapy plus GnRH agonist5
Ovarian failure secondary to chemotherapy6
AI aromatase inhibitor GnRH, gonadotropin-releas
ing hormone PMW, postmenopausal women.1. Kanis
JA. In Osteoporosis. Blackwell Healthcare
Communications Ltd, 1997 2. Eastell R, et al. J
Bone Miner Res. 200621(8)1215-1223 3. Lee WY,
et al. J Clin Endocrinol Metab.
200287(1)329-335 4. Maillefert JF, et al. J
Urol. 1999161(4)1219-1222 5. Gnant M, et al.
Breast Cancer Res Treat. 200276(suppl 1)S31.
Abstract 12 6. Shapiro CL, et al. J Clin Oncol.
200119(14)3306-3311.
26
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28
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29
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32
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33
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  • ?? T-score, SD
  • ??????? 1
  • ???? 1 ? 2.5
  • ???? 2.5
  • ?????? 2.5 ? ? 1 fracture
  • ??????? 1 SD,??????????1.5 ?2.5?
  • ??????????30 ?????????

National Osteoporosis Foundation, 2003.Kanis JA,
et al. J Bone Miner Res. 199491137-1141.
34
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?? ???(mg/cm2)
?? gt 833 ????????1?????? (BMD -1 SD)
????Osteopenia 648833 ??????1???2.5?????? (-2.5 SD BMD lt -1 SD)
????Osteoporosis lt 648 ???????2.5?????? (BMD lt -2.5 SD)
??????Severe osteoporosis ???? ???????2.5??????,??????????????
35
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36
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37
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38
Fosamax (???)
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39
Zoledronic Acid (???)
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40
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41
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42
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  • 50??????????????1200??
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43
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  • ?? 800 ??/?
  • ??? 1200 ??/?
  • 40????? 1000 ??/?
  • 40????? 1500 ??/?
  • 60????? 1000 ??/?
  • 60????? 1200 ??/?

44
??????
  • ???? 100 cc 118 mg ???
  • ???? 100 cc 124 mg
  • ?? 100 g 160 mg
  • ?? 100 g 721 mg
  • ????? 100 g 461 mg
  • ?? 100 g 160 mg
  • ???? 30 g 33 mg

45
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?????? ?????-??- ??????-??????- ??????-??????-
1 500 31 -120
2 500 24 -116
3 800 12 -85
4 1400 10 -84
5 1400 20 -65
?? 920 19 -94
49
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52
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53
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54
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