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肺癌患者血液心钠素、胃泌素及癌胚抗原的对照研究

Comparative observation of Blood ANP、Gastrin、CEA in Patients with lung Cancer

  • 摘要: 测75例原发性肺癌、32例肺良性疾病患者和32名健康人血心钠素(ANP)、胃泌素和癌胚抗原(CEA).并比较20例肺癌患者治疗前后上述三项指标变化。 结果血ANP、胃泌素和CEA肺癌组高于对照组(P<0.01); 小细胞肺癌(SCLC)患者血ANP和胃泌素高于鳞癌和腺癌(P<0.01); 胃泌素与CEA联检其诊断指数高于三项指标的单项检测的诊断指数; 治疗后血ANP、胃泌素和CEA低于治疗前(P<0.01); SCLC患者治疗后血ANP和胃泌素下降程度高于鳞癌和腺癌(P<0.05)。 因此, 上述三项指标检测有助于肺癌的诊断、组织学分型及疗效监测。

     

    Abstract: Blood ANP (atrial natriuetic peptide production). gastrin, CEA(carcinoembryonic antigen) were determinded in 75 patients with lung cancer,32 patients with benign lung disease and 32 normal individuals, 20 cases of 75 patients with lung cancer were compared the .variaty of each marker before and after treatment. The result showed that the mean of blood ANP. gastrin. CEA in patients with lung cancer was remarkably higher than in the controls (P<0.01 ). The level of blood gastrin and CEA in the advanced lung cancer patients was higher significantly than inthe limited lung cancer. The mean of ANP and gastrin in sclc was much higher thanin squamous cell carcinoma and adenocarcinoma (P<0.01 ). The mean of CEA inpatients with adenocarcinoma was higher than those with SCLC and squamous cellcarcinoma (P<0.01 ). When CEA and gastrin were determined simultaneously thediagnotic value was increased. The mean of ANP, gastrin. and CEA in patientswith lung cancer decreased remarkably after chemotherapy and radiotherapy (P<0.01). It is concluded that the determination of blood ANP. gastrin and CEA ishelpful in diagnosis, histologic classification and monitoring the response to therapyin patients with lung cancer.

     

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