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[肺癌手术前后血浆抗利尿激素的动态研究]

[Dynamic study on plasma antidiuretic hormone before and after surgery for lung cancers].

作者信息

Yang J

机构信息

Nan Fang Hospital, Guangzhou, Guangdong.

出版信息

Zhonghua Zhong Liu Za Zhi. 1992 Sep;14(5):360-1.

PMID:1337892
Abstract

Plasma antidiuretic hormone (ADH) was assayed before and after surgery for lung cancers. The results showed that the plasma ADH in the control group was 11.6 +/- 4.8 pg/ml in contrast to higher levels in the lung cancer patients. The ADH level was highest in patients with small cell anaplastic cancer (SCAC), and in decreasing order, adenocarcinoma, mixed cell type carcinoma and lowest in squamous cell carcinoma. The ADH levels in all patients were reduced postoperatively from one week to three months when they approached the control level. One year later, ADH became elevated again in those who developed recurrence as compared with those clinically free of the disease. The difference was most significant in patients suffering from SCAC (P < 0.05-0.001). The authors believe that ADH assay may be useful in the diagnosis, assessment of treatment and monitor or prognosis in lung cancers.

摘要

对肺癌患者手术前后的血浆抗利尿激素(ADH)进行了检测。结果显示,对照组血浆ADH为11.6±4.8 pg/ml,而肺癌患者的水平较高。小细胞间变性癌(SCAC)患者的ADH水平最高,其次依次为腺癌、混合细胞型癌,鳞状细胞癌患者的ADH水平最低。所有患者术后1周3个月时ADH水平均下降,接近对照组水平。1年后,复发患者的ADH水平再次升高,与无疾病临床症状的患者相比,差异在SCAC患者中最为显著(P<0.050.001)。作者认为,ADH检测可能对肺癌的诊断、治疗评估及监测或预后有帮助。

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