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采用ELISA夹心法对食管癌患者手术前后血清可溶性白细胞介素2受体(sIL-2R)水平进行了动态观察,结果发现,有手术指征的食管瘤患者组血清sIL-2R水平(407±99u/ml)非常显著地高于正常对照组(265±88u/ml)(P<0.001),其中Ⅰ、Ⅲ组食管癌患者手术前后血清sIL-2R水平明显下降(Ⅰ组:术前;375±52u/ml术后:259±39u/ml;Ⅲ组:术前:383±73u/ml术后:260±64u/ml),而Ⅲ组病人手术前后血清sIL-2R水平无明显差异;部分术后追踪观察发现,复发者血清sIL-2R水平(959±143u/ml)与未复发者(345±78u/ml)有显著性差异(P<0.001).该研究结果说明血清sIL-2R水平在指导外科医生明确手术指征,选择手术方式、估计预后上有较为重要的参考价值。
The level of serum soluble interleukin 2 receptor (sIL-2R) in patients with esophageal cancer before and after operation was measured by ELISA. The results showed that serum sIL-2R levels in patients with surgical indications of esophageal tumors (407±99u) (/ml) was significantly higher than the normal control group (265±88u/ml) (P<0.001), among which, serum sIL-2R levels in patients with esophageal cancer in group I and III were significantly decreased before and after surgery (group I: preoperative; 375±52u/ml postoperatively: 259±39u/ml; Group III: preoperatively: 383±73u/ml postoperatively: 260±64u/ml), and there was no significant difference in serum sIL-2R levels before and after operation in Group III patients. Some postoperative follow-up observations revealed that serum sIL-2R levels (959±143u/ml) were significantly different from those without relapse (345±78u/ml) (P<0.001). The results of this study show that serum sIL-2R levels are of relatively important reference value in guiding surgeons to identify surgical indications, selecting surgical methods, and estimating prognosis.