胃癌患者血清胃动素,肽YY,IgG和铁蛋白变化的意义

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目的探讨胃癌患者血清胃动素(MTL),肽YY(PYY),免疫球蛋白G(IgG)及铁蛋白(FRT)含量的变化及临床意义.方法胃癌患者28例,男19例,女9例,平均486岁(25岁~61岁),均经纤维内镜,X线钡餐和组织病理学检查确诊,并排除肠道肿瘤和内分泌疾病.病变按胃段分布包括胃窦部17例,胃底部5例,胃体部6例;按胃壁分布包括胃小弯18例,胃大弯4例,前壁2例和后壁3例;按胃癌的病期分为早期4例和中晚期24例;按组织学分为腺癌17例,粘液腺癌5例,低分化腺癌3例和未分化癌3例.健康对照26例,男17例,女9例,平均464岁(23岁~59岁),排除胃肠道和内分泌疾病.全部研究对象均于确诊后3d内的上午07:00空腹采血,用放射免疫法测定血清MTL,PYY,IgG和FRT.结果与对照比较,胃癌患者血清MTL(ng/L,2073±984vs3163±984,P<001),PYY(pmol/L,11±06vs17±08,P<001)和IgG(g/L,131±70vs253±101,P<001)明显升高,而FRT(μg/L,984±415vs1271±641,P>005)? Objective To investigate the changes and clinical significance of serum motilin (MTL), peptide YY (PYY), immunoglobulin G (IgG) and ferritin (FRT) in gastric cancer patients. Methods There were 28 patients with gastric cancer, 19 males and 9 females, with an average of 48  6 years old (25 ~ 61 years old). All patients were diagnosed by fiberoptic endoscopy, X-ray barium meal and histopathological examination, and excluded intestinal tumors and endocrine diseases. disease. According to the distribution of gastric lesions, there were 17 cases of gastric antrum, 5 cases of gastric fundus and 6 cases of gastric body. According to the distribution of stomach wall, there were 18 cases of small gastric curvature, 4 cases of gastric curvature, 2 cases of anterior wall and 3 cases of posterior wall. According to the stage of gastric cancer, it was divided into 4 cases in early stage and 24 cases in middle and late stage. According to histological classification, there were 17 cases of adenocarcinoma, 5 cases of mucinous adenocarcinoma, 3 cases of poorly differentiated adenocarcinoma and 3 cases of undifferentiated carcinoma. There were 26 healthy controls, 17 males and 9 females, with an average of 46  4 years old (23 ~ 59 years old), excluding gastrointestinal and endocrine diseases. All subjects underwent fasting blood sampling at 7:00 am within 3 days after diagnosis, serum MTL, PYY, IgG and FRT were determined by radioimmunoassay. Results Compared with controls, serum MTL in patients with gastric cancer (ng/L, 2073±984 vs 3163±984, P<001), PYY (pmol/L, 11±06 vs 17) ±08, P<001) and IgG (g/L, 131±70vs253±101, P<001) were significantly elevated, whereas FRT (μg/L, 98) 4±415vs1271±641, P>005)?
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