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原发性肝癌介入治疗前后血清VEGF,SIL-2R水平变化及意义
作者:郭卫东  张惠洁  狄纪军  郝灵芳  斯琴  
单位:内蒙古医学院第三附属医院肿瘤(放疗)科  呼和浩特市第一人民医院肿瘤科 
关键词:原发性肝癌  TACE  VEGF  SIL-2R 
分类号:R735.7
出版年,卷(期):页码:2010,27(2):128-130
摘要:

目的:检测血清VEGF,SIL-2R在原发性肝癌介入治疗(TACE)前后水平变化。方法:30例临床确诊的原发性肝癌患者分别于介入术前1天、术后1天、7天、1月清晨空腹留取静脉血3ml,分离血清-70℃保存。VEGF,SIL-2R的测定采用ELISA法。结果:30例原发性肝癌患者血清VEGF水平在术前1天、术后1天、7天、1月的均值与术前比较,术后1天明显升高,差异有统计学意义(P<0.05);术后7天值明显下降,与术前及术后1天比较均有统计学意义(P<0.05);术后1月与术后7天比较升高,差异有统计学意义(P<0.05),与术前比较差异无统计学意义(P>0.05);血清SIL-2R水平术后1天与术前比较差异无统计学意义(P>0.05),术后7天与术前及术后1天比较均下降,且差异有统计学意义(P<0.05),术后1月与术后7天比较均上升差异有统计学意义(P<0.05),但明显低于术前,差异有统计学意义(P<0.05)。结论:(1)血清VEGF,SIL-2R水平在原发性肝癌介入治疗前后存在明显的动态变化。(2)血清VEGF,SIL-2R检测有望成为原发性肝癌介入治疗疗效评价指标。

Objective:To investigate the levels of VEGF,and SIL-2R(serum soluble interleukin-2 receptor)in serum in the primary liver cancer before and after transcatheter arterial-embolization(TACE).Methods:Fasting venous blood(3ml)were collected from 30 cases with clinical diagnosis of hepatocellular carcinoma in the morning,respectively on the 1st day before operation,the 1st,7th day and 1 month after interventional therapy.At low temperature,serum was separated and stored in -70℃,VEGF,SIL-2R was detected with ELISA.Results:Serum VEGF levels at the 1st day before the TACE,at the 1st day,7th day,and 1 month after the treatment was significantly increased at 1st after operation when compared with 1st before operation,There was statistically significant difference(P<0.05),it significantly decreased at 7th day compared with 1st before operation,and 1st after operation.,there was statistically significant difference (P<0.05),it significantly increased at 1 month compared with 7th day after operation,there was statistically significant difference (P<0.05),but there was no significant difference compared with 1st before operation(P>0.05).Serum SIL-2R levels at the 1st day before the TACE,at the 1st day,7th day,and 1 month after treatment compared with 1st before operation serum SIL-2R levels at 1st after operation was no significant difference(P>0.05),but serum SIL-2R levels significantly decreased at 7th compared with 1st before operation,and1st after operation.There was statistically significant difference(P<0.05),increased at 1 month compared with 7th day after operation (P<0.05),but significantly lower than 1st before operation(P<0.05).Conclusions:(1)serum VEGF,SIL-2R levels have a significant dynamic change following TACE treatment.(2)Dection of serum VEGF,SIL-2R could be used as effictive evaluation indicators of transcatheter arterial-embolization  

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