Kruitwagen R F, Janssen-Caspers H A, Wladimiroff J W, Schats R, De Jong F H, Drogendijk A C
Br J Obstet Gynaecol. 1987 Jun;94(6):548-53. doi: 10.1111/j.1471-0528.1987.tb03149.x.
In 15 women, peritoneal fluid was obtained by either culdocentesis (n = 20) or laparoscopy (n = 3), before (n = 9) and after (n = 14) ovulation. Ultrasound was used for ovulation detection. Before ovulation the mean oestradiol-17 beta level in plasma and peritoneal fluid was not essentially different; the mean progesterone level was significantly higher in peritoneal fluid. After ovulation both the mean oestradiol-17 beta and progesterone levels were significantly higher in peritoneal fluid than in plasma. In peritoneal fluid, there was a wide distribution of individual oestradiol-17 beta values before and after ovulation; no significant difference existed between the mean pre- and postovulatory oestradiol-17 beta level. More consistent changes were seen in peritoneal fluid progesterone levels; the mean level was significantly higher after ovulation. In three subjects, a low postovulatory progesterone level in peritoneal fluid was associated with a cystic luteal structure observed by ultrasound, suggesting a reduced leakage of fluid from the ovulation stigma.
对15名女性在排卵前(9例)和排卵后(14例)通过后穹窿穿刺术(20例)或腹腔镜检查(3例)获取腹腔液。采用超声检测排卵情况。排卵前血浆和腹腔液中雌二醇-17β的平均水平无显著差异;腹腔液中孕酮的平均水平显著更高。排卵后腹腔液中雌二醇-17β和孕酮的平均水平均显著高于血浆。在腹腔液中,排卵前后雌二醇-17β的个体值分布广泛;排卵前和排卵后雌二醇-17β的平均水平无显著差异。腹腔液中孕酮水平的变化更为一致;排卵后平均水平显著更高。在3名受试者中,腹腔液中排卵后孕酮水平较低与超声观察到的黄体囊肿结构有关,提示排卵点的液体渗漏减少。