[人子宫内膜和血浆中的类固醇激素浓度(作者译)]。

K Okuda
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引用次数: 0

摘要

采用放射免疫法测定正常月经妇女子宫切除术过程中子宫内膜和外周血中黄体酮(P)、20 α -二氢黄体酮(20P)、17-羟基黄体酮(17P)、雄烯二酮(A)、雌酮(E1)和雌二醇(E2)的浓度。卵泡期子宫内膜P的平均浓度显著低于黄体期,而E2的平均含量显著高于黄体期。根据子宫内膜与血浆中甾体激素浓度的比值将6种甾体激素分为3组。E2和E1组在卵泡期和黄体期均呈高比值,17P和A组呈低比值。黄体期子宫内膜P、20P浓度与血浆P、20P浓度相关性较好。结果提示子宫内膜内类固醇浓度与类固醇受体、类固醇代谢和血浆类固醇浓度有关。因此,同时测定血浆和子宫内膜中的类固醇激素含量似乎可以提供有关子宫内膜功能异常的有用信息。
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[Steroid hormone concentrations in human endometrium and plasma (author's transl)].

Concentrations of progesterone (P), 20 alpha-dihydroprogesterone (20P), 17-hydroxyprogesterone (17P), androstenedione (A), estrone (E1) estradiol (E2) in endometrium and peripheral blood taken simultaneously from normally menstruating women in the course of hysterectomy were determined by radioimmunological assay. The mean concentration of P in the endometrium in the follicular phase was significantly lower than that in the luteal phase, whereas the mean E2 content in the follicular phase was significantly higher than that of the luteal phase. Six steroids examined were divided into 3 groups according to the ratio of the concentrations in the endometrium vs. plasma. The E2 and E1 groups were of high ratios and 17P and A groups were low ratios in both the follicular and the luteal phase. The concentrations of P and 20P in the endometrium vs. plasma in the luteal phase were correlated well. The results suggest that the steroid concentrations in the endometrium were related to the steroid receptors, steroid metabolisms and plasma steroid concentrations. Thus simultaneous determination of steroid hormone contents in plasma and endometrium seems to provide useful information concerning the functional abnormalities of endometrium.

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