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目的:了解卵巢癌腹腔化疗前后血清可溶性白细胞介素-2受体(SIL-2R)的变化。方法:采用双抗体夹心酶联免疫吸附试验(ELISA法)检测41例卵巢癌患者在腹腔化疗前后血清SIL-2R水平,并与正常对照组比较。结果:卵巢癌患者在腹腔化疗前血清SIL-2R水平显著高于正常对照组(P<0.001),水平升高与病灶大小呈正相关;治疗后患者血清SIL-2R水平比治疗前明显下降(P<0.001),但仍显著高于对照组(P<0.05),与病情变化密切相关;治疗有效的患者血清SIL-2R水平明显低于无效患者的水平(P<0.05)。结论:卵巢癌患者血清SIL-2R的变化与癌肿的大小及消长呈正相关,在腹腔化疗前后检测患者的血清SIL-2R水平,有助于估计病情、疗效及预后。
Objective: To investigate the changes of serum soluble interleukin-2 receptor (SIL-2R) in patients with ovarian cancer before and after intraperitoneal chemotherapy. Methods: Serum levels of SIL-2R in 41 patients with ovarian cancer before and after intraperitoneal chemotherapy were measured by double antibody sandwich enzyme-linked immunosorbent assay (ELISA) and compared with the normal control group. Results: The serum level of SIL-2R in patients with ovarian cancer before chemotherapy was significantly higher than that in normal controls (P <0.001), and the level of SIL-2R was positively correlated with the size of the lesion. The level of serum SIL-2R in patients with ovarian cancer was significantly lower than that before treatment (P <0.001), but it was still significantly higher than that of the control group (P <0.05), which was closely related to the changes of the disease. The level of serum SIL-2R in patients with effective treatment was significantly lower than that in patients with ineffectiveness (P <0.001). 05). CONCLUSIONS: The change of serum SIL-2R in ovarian cancer patients is positively correlated with the size and growth of cancer. The level of serum SIL-2R in patients with ovarian cancer before and after intraperitoneal chemotherapy is helpful to evaluate the condition, curative effect and prognosis.