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通过对晨尿中类固醇葡萄糖醛酸苷进行直接放射免疫测定来进行早期妊娠的激素监测。

Hormonal monitoring of early pregnancy by a direct radioimmunoassay of steroid glucuronides in first morning urine.

作者信息

Mendizábal A F, Quiroga S, Farinati Z, Lahoz M, Nagle C

出版信息

Fertil Steril. 1984 Nov;42(5):737-40. doi: 10.1016/s0015-0282(16)48199-9.

DOI:10.1016/s0015-0282(16)48199-9
PMID:6489546
Abstract

The usefulness of the direct 4-hour radioimmunoassay of estriol-16-glucuronide (E3G) and pregnanediol-3-glucuronide (P2G) in first morning urine (FMU) for establishing a prognosis of the early pregnancy outcome was evaluated in 106 patients that became pregnant. Microaliquots of FMU were serially assayed from day 3 of the conception cycle until day 80 of pregnancy. The E3G and P2G profiles of 19 pregnancies which terminated in spontaneous abortion with either a diagnosis of the blighted ovum syndrome (n = 11) or presumption of a corpus luteum/trophoblast failure (n = 8) have been compared with those of clinically normal pregnancies (n = 87). Normal pregnancies displayed typical patterns of E3G and P2G development, while variations were observed in abortive events that reflected changes of the fetoplacental unit.

摘要

对106例妊娠患者进行了研究,评估晨尿中雌三醇-16-葡萄糖醛酸苷(E3G)和孕二醇-3-葡萄糖醛酸苷(P2G)的直接4小时放射免疫测定法对早期妊娠结局预后判断的有用性。从受孕周期第3天至妊娠第80天对晨尿微量样本进行连续检测。将19例诊断为枯萎卵综合征(n = 11)或推测为黄体/滋养层功能不全(n = 8)而自然流产的妊娠的E3G和P2G曲线与临床正常妊娠(n = 87)的曲线进行了比较。正常妊娠呈现典型的E3G和P2G发育模式,而流产事件中观察到的变化反映了胎儿-胎盘单位的改变。

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