Sandostatin治疗肢端肥大症

Sandostatin in Treatment of Acromegaly

  • 摘要: 本文报告用Sandostatin治疗5例活动性肢大症。疗程6个月。Sandostatin剂量450~1500μg/日,分次皮下注射。治疗后头痛、软组织肿胀等症状明显减轻。4例患者血清平均GH水平下降50%以上,1例无下降。4例垂体瘤体积稍缩小。1例糖尿病好转,1例出现糖耐量异常。另1例出现胆囊结石,停药一年后随诊,胆结石消失。结果提示Sandostatin能有效地降低血清GH水平,改善临床症状。对药物的副作用应作进一步观察。

     

    Abstract: Five patients with active acromegaly were treated with Sandostatin for 6 months. The dosage of Sandostatin was 450 to 1500ug daily and it was injected subcutaneouly in divided dose every 8 hours. After treatment the symptoms of headche and soft tissue swelling were improved. The mean serum GH level was reduced by more than 50% in 4 patients and remained unchanged in (?). Slight shrinkage of pituitary GH-secreting tumor was found in 4 patients. Diabetes was improved in 1 patients, while glucose intolerance occurred in 1 case. One patient developed gallbladder stone during treatment, but it disappeared spontaneously 1 year after withdrawing Sandostatin. The authors suggested that sandostatin might be effective in reduction of serum GH, but the side effects of the drug should study further.

     

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