Gendrel D, Job J C, Canlorbe P, Roger M, Laclyde J P
Arch Fr Pediatr. 1978 May;35(5):535-45.
Endocrine evaluation with LH-RH (0.1 mg/m2) and chorionic gonadotrophin (HCG 3 X 1,500 I.U.) in 154 cryptorchid boys aged 1 month to 15 years showed a decrease of LH pituitary secretion and Leydig-cells response to HCG in prepubertal and early pubertal patients. These deficiencies were positively correlated. Partial and at least transient descent of cryptorchid testis or testes has been obtained in 87 of 265 patients treated with HCG (3 to 9 X 1,500 I.U.). Plasma testosterone after HCG 3 X 1,500 I.U. was less increased in patients whose cryptorchid testis or testes descended after 9 X 1,500 I.U. than in those whose testes remained undescended. These data suggest that a partial, early and transient deficiency of pituitary LH secretion may be responsible for testicular maldescent in part of cryptorchid boys.
对154名年龄在1个月至15岁的隐睾男孩进行促黄体生成素释放激素(LH-RH,0.1毫克/平方米)和绒毛膜促性腺激素(HCG 3×1500国际单位)的内分泌评估,结果显示青春期前和青春期早期患者的垂体促黄体生成素分泌减少,以及睾丸间质细胞对HCG的反应降低。这些缺陷呈正相关。在265名接受HCG(3至9×1500国际单位)治疗的患者中,有87名患者的隐睾或睾丸出现了部分且至少是短暂的下降。与睾丸仍未下降的患者相比,接受9×1500国际单位HCG治疗后隐睾或睾丸下降的患者,在接受3×1500国际单位HCG治疗后血浆睾酮的升高幅度较小。这些数据表明,垂体促黄体生成素分泌的部分、早期和短暂缺陷可能是部分隐睾男孩睾丸下降异常的原因。