Kolster J, Castro de Kolster C, Bustillos R, de Pool I, Pepe M
Departamento de Medicina, Universidad de Carabobo.
G E N. 1990 Jul-Sep;44(3):203-8.
Pituitary-gonadal plasmatic hormonal values were measured in 26 alcoholic cirrhotic males and 20 healthy subjects. Total testosterone and luteinizing hormone mean levels were lower in the cirrhotic group (p < 0.05). Estradiol and prolactin were significant higher (p < 0.05 and p < 0.001, respectively). Follicle stimulation hormone mean values were normal. Pituitary-gonadal axis luteinizing hormone-testosterone and follicle stimulating hormone-estradiol were abnormal since the retrofeedback mechanism failed to work in each system. These results show a wide disturbance of the sexual hormonal function in our patients which certainly contributes to puzzle the complexity of the clinical and therapeutic aspects in these kind of patients.
对26名酒精性肝硬化男性患者和20名健康受试者测定了垂体-性腺血浆激素值。肝硬化组的总睾酮和促黄体生成素平均水平较低(p < 0.05)。雌二醇和催乳素显著较高(分别为p < 0.05和p < 0.001)。促卵泡生成素平均值正常。由于每个系统中的负反馈机制失效,垂体-性腺轴的促黄体生成素-睾酮和促卵泡生成素-雌二醇均异常。这些结果表明我们的患者存在广泛的性激素功能紊乱,这无疑增加了这类患者临床和治疗方面的复杂性。