Kuss VE Goebel R
J Clin Chem Clin Biochem. 1976 Dec;14(12):549-56.
The chemistry of oestrogens, and the metabolism of the oestrogens during pregnancy is considered. On this basis, appropriate methods of oestrogen determination have been devised for the recognition of foetuses at risk; the diagnostic significance of these methods is discussed. A method is regarded as suitable if the results can be quickly available, and give a reliable representation of the rate of oestriol production by the foeto-placental unit. Following a review of the development of eostrogen determinations, one method for the photometric measurement of total urinary oestrogens and one method for the radio-immunological determination of serum oestriol are discussed in detail. The advantages and disadvantages of studies on urine and serum are summarized in a table. Finally, problems in the clinical evaluation of the results of oestriol determinations are discussed.
本文探讨了雌激素的化学性质以及孕期雌激素的代谢情况。在此基础上,设计了合适的雌激素测定方法以识别有风险的胎儿,并讨论了这些方法的诊断意义。如果一种方法能快速得出结果,并能可靠地反映胎儿 - 胎盘单位产生雌三醇的速率,那么该方法就被认为是合适的。在回顾了雌激素测定方法的发展之后,详细讨论了一种用于光度法测定尿中总雌激素的方法和一种用于放射免疫法测定血清雌三醇的方法。尿和血清研究的优缺点总结在一个表格中。最后,讨论了雌三醇测定结果临床评估中的问题。