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[绝经和卵巢切除术对性类固醇分泌及掌骨骨矿物质含量的影响]

[Influences of menopause and oophorectomy on sex steroids secretion and metacarpal bone mineral content].

作者信息

Ohta H, Nozawa S, Nemoto K

机构信息

Department of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo.

出版信息

Nihon Sanka Fujinka Gakkai Zasshi. 1991 Feb;43(2):213-20.

PMID:2013710
Abstract

The effects of menopause and oophorectomy (OPX) upon blood levels of sex steroid and bone mineral content were studied in age- and body size-matched postmenopausal subjects (n = 55), OPX subjects (n = 42) and premenopausal controls (n = 35). Blood levels of 17-OH-pregnenolone, 17-OH-progesterone and androstenedione were significantly lower in the OPX group than in the other two groups. For DHEA, DHEA-sulfate and testosterone, there were no significant intergroup differences. The blood level of estrone was the lowest in the OPX group, followed by the postmenopausal group (p less than 0.05). For estradiol, there was no difference between the two groups and its blood level was lower in these groups than in the controls. For LH and FSH, there were no differences between the former two groups, but blood levels were significantly high in these groups (p less than 0.01). Microdensitometric indices such as GS min and sigma GS/D were all low in postmenopausal and OPX groups in comparison with the controls (p less than 0.01). There were no considerable differences in these indices between the former groups. In conclusion, ovarian interstitial cells are still functioning and secrete androgens in short interval of three years after menopause, as known from higher blood levels of androgens and converted estrone in the postmenopausal group than in the OPX group. However, there was no significant difference between these two groups with regard to metacarpal bone mineral content.

摘要

在年龄和体型匹配的绝经后受试者(n = 55)、接受卵巢切除术(OPX)的受试者(n = 42)和绝经前对照组(n = 35)中,研究了绝经和卵巢切除术对性类固醇血水平和骨矿物质含量的影响。OPX组中17-OH-孕烯醇酮、17-OH-孕酮和雄烯二酮的血水平显著低于其他两组。对于脱氢表雄酮(DHEA)、硫酸脱氢表雄酮和睾酮,组间无显著差异。雌酮血水平在OPX组中最低,其次是绝经后组(p < 0.05)。对于雌二醇,两组间无差异,且这两组中的雌二醇血水平低于对照组。对于促黄体生成素(LH)和促卵泡生成素(FSH),前两组间无差异,但这两组中的血水平显著升高(p < 0.01)。与对照组相比,绝经后组和OPX组的微密度测定指标如GS min和sigma GS/D均较低(p < 0.01)。前两组在这些指标上无显著差异。总之,从绝经后组雄激素和转化雌酮的血水平高于OPX组可知,绝经后三年内卵巢间质细胞仍在发挥功能并分泌雄激素。然而,这两组在掌骨矿物质含量方面无显著差异。

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