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采用双抗体夹心酶联免疫吸附试验检测32例手术前后和26例化疗前后肺癌患者的血清可溶性白细胞介素-2受体(sIL-2R)水平并与29例健康人进行比较。结果显示:肺癌患者血清sIL-2R水平明显高于正常对照组(P<0.01)。术后患者血清sIL-2R水平明显下降(P<0.01);术前血清sIL-2R水平与肿瘤组织分化密切相关,分化越低,水平越高(P<0.05),但与肿瘤病理类型和分期无明显的关系(P>0.05)。化疗前后sIL-2R水平变化不明显(P>0.05)。,而且sIL-2R水平下降与化疗疗效也无明显的关系(P>0.05)。结果表明肺癌患者血清sIL-2R水平与肿瘤负荷和肿瘤分化密切相关,血清sIL-2R水平动态监测可以作为判断手术效果和肿瘤预后的重要指标。
The levels of soluble interleukin-2 receptor (sIL-2R) in 32 patients with lung cancer before and after surgery and 26 patients before and after chemotherapy were measured by double-antibody sandwich enzyme-linked immunosorbent assay and compared with 29 healthy individuals. The results showed that serum sIL-2R levels in lung cancer patients were significantly higher than those in normal controls (P<0.01). Serum sIL-2R levels were significantly decreased after surgery (P<0.01). Preoperative serum sIL-2R levels were closely related to tumor tissue differentiation. The lower the differentiation, the higher the level (P<0.05). There was no significant relationship between pathological type and stage (P>0.05). There was no significant change in sIL-2R levels before and after chemotherapy (P>0.05). And there was no significant relationship between the decrease of sIL-2R level and chemotherapy efficacy (P>0.05). The results showed that serum sIL-2R levels in lung cancer patients are closely related to tumor burden and tumor differentiation. Dynamic monitoring of serum sIL-2R levels can be used as an important indicator to judge the surgical outcome and tumor prognosis.