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同时检测了72例原发性肺癌、33例肺良性疾病和35例健康人血清中总超氧化物歧化酶(T-SOD)、铜锌超氧化物歧化酶(CuZn-SOD),锰超氧化物歧化酶(Mn-SOD),铜蓝蛋白(CP)活力及尿酸(UA)含量。肺癌血清Mn-SOD及UA水平显著高于肺良性疾病和健康组(P<0.01)。Mn-SOD对肺癌诊断的敏感性为86.11%,特异性为91.18%,诊断正确率为88.57%。晚期肺癌患者Mn-SOD活力高于早期病人(P<0.05),8例肺癌手术后T-SOD及Mn-SOD明显下降(P<0.01)。Mn-SOD与UA并联检测敏感性为94.44%,特异性为85.29%,诊断正确率为90%。Mn-SOD、UA和CP全部测定时敏感性则为97.22%,特异性为77.94%,诊断正确率为87.86%。结果提示,肺癌患者血清氧自由基清除剂水平增高。对肺癌诊断、鉴别诊断、病情分析及手术疗效监测起重要作用。
At the same time, total superoxide dismutase (T-SOD) and copper-zinc superoxide dismutase (CuZn-SOD) in the serum of 72 patients with primary lung cancer, 33 patients with benign pulmonary disease, and 35 healthy individuals were detected. Dismutase (Mn-SOD), ceruloplasmin (CP) activity and uric acid (UA) content. The serum Mn-SOD and UA levels in lung cancer were significantly higher than those in benign lung disease and healthy group (P<0.01). The sensitivity of Mn-SOD in the diagnosis of lung cancer was 86.11%, the specificity was 91.18%, and the diagnostic accuracy was 88.57%. The Mn-SOD activity in patients with advanced lung cancer was higher than that in early patients (P<0.05), and the T-SOD and Mn-SOD were significantly decreased in 8 lung cancer patients after surgery (P<0.01). The sensitivity of detection of Mn-SOD and UA in parallel was 94.44%, specificity was 85.29%, and the diagnostic accuracy rate was 90%. The sensitivities of Mn-SOD, UA and CP were all 97.22%, the specificity was 77.94%, and the diagnostic accuracy was 87.86%. The results suggest that the serum oxygen free radical scavenger levels increase in patients with lung cancer. It plays an important role in lung cancer diagnosis, differential diagnosis, condition analysis and monitoring of surgical outcomes.