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[良性乳腺疾病期间卵巢黄体的激素功能]

[Hormonal function of the ovarian corpus luteum during benign mammary diseases].

作者信息

Mauvais-Jarvis P, Tamborini A, Sterkers N, Ohlgiesser G, Mowszowicz I

出版信息

J Gynecol Obstet Biol Reprod (Paris). 1975;4(7):965-70.

PMID:1219052
Abstract

Plasma progesterone and oestradiol levels were estimated in 54 women who were suffering from breast pathology. (There were 18 cases of benign breast dysplasia, 28 cases of cystic disease of the breast and 8 cases of adenofibromata.) All these women had menstrual cycles that were apparently ovulatory, and the blood sampling was carried out on the 4th day after the rise in the temperature plateau. By way of controls, the same estimations were carried out on 20 normal women of the equivalent age at the same stage of the raised plateau. The levels of plasma oestradiol in patients who had breast pathology (136 +/- 75 pg/ml) were not significantly different from those of normal women (120 +/- 50 pg/ml). On the other hand patients with mastopathies had a far lower level of progesterone in the phase of the cycle that was considered to be luteal (5-7 +/- 3-1 ng/ml) in comparison with normal women (13-2 +/- 3-5 ng/ml). From these results the conclusion can be drawn that women who have benign breast disease while they are active from the ovulation point of view show a defect in secretion of progesterone by the corpus luteum. This defect is an isolated one. The physiopathological implications derived from this observation are discussed.

摘要

对54例患有乳腺疾病的女性进行了血浆孕酮和雌二醇水平的测定。(其中乳腺良性发育异常18例,乳腺囊性疾病28例,腺纤维瘤8例。)所有这些女性的月经周期显然是有排卵的,且在体温平台期上升后的第4天进行采血。作为对照,对20名年龄相当且处于相同体温上升阶段的正常女性进行了同样的测定。患有乳腺疾病的患者血浆雌二醇水平(136±75 pg/ml)与正常女性(120±50 pg/ml)相比无显著差异。另一方面,与正常女性(13.2±3.5 ng/ml)相比,乳腺病患者在被认为是黄体期的月经周期阶段孕酮水平要低得多(5 - 7±3 - 1 ng/ml)。从这些结果可以得出结论,从排卵角度来看处于活跃状态的患有乳腺良性疾病的女性,其黄体分泌孕酮存在缺陷。这种缺陷是孤立的。讨论了从该观察结果得出的生理病理学意义。

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