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原发性肝癌患者经皮微波凝固治疗前后血清血管内皮生长因子、可溶性白细胞介素-2受体和肝细胞生长因子联合检测的临床意义

Clinical significance of joint detection of serum VEGF, SIL-2R and HGF in patients with primary hepatocellular carcinoma before and after percutaneous microwave coagulation therapy.

作者信息

Chen Ji-Dong, Xiong Yan-Qun, Dong Ke, Luo Jun, Yue Lin-Xian, Chen Qin

机构信息

Department of Interventional Ultrasound, Sichuan Provincial People's Hospital, Chengdu, China E-mail :

出版信息

Asian Pac J Cancer Prev. 2014;15(11):4545-8. doi: 10.7314/apjcp.2014.15.11.4545.

DOI:10.7314/apjcp.2014.15.11.4545
PMID:24969882
Abstract

OBJECTIVE

To investigate the changes of serum vascular endothelial growth factor (VEGF), soluble interleukin-2 receptor (SIL-2R) and hepatocyte growth factor (HGF) contents in patients with primary hepatocellular carcinoma (HCC) before and after percutaneous microwave coagulation therapy (PMCT) and determine their clinical significance.

MATERIALS AND METHODS

Fasting venous blood (3 mL) from 81 patients with primary HCC diagnosed by pathology was collected in the mornings 1 day before PMCT, and 1 day, 7 days and 1 month after PMCT, and then the serum was separated and stored in -70°. The contents of VEGF, SIL-2R and HGF were detected by enzyme linked immunosorbent assay (ELISA).

RESULTS

The serum VEGF, SIL-2R and HGF contents in 81 patients with primary HCC had obviously dynamic changes before and after PMCT. By comparison to 1 day after PMCT with pre-operation, there was no statistical significance regarding VEGF and SIL-2R contents (P>0.05), but HGF content showed significant difference (P<0.01). Compared with pre-operation, VEGF, SIL-2R and HGF contents 7 days and 1 month after PMCT all manifested significant differences (P<0.01). By comparison to 7 days with 1 month after PMCT, there was no statistical significance regarding the VEGF content (P>0.05), whereas SIL-2R and HGF contents showed significant change (P<0.01).

CONCLUSIONS

The contents of serum VEGF, SIL-2R and HGF have obviously dynamic changes in primary HCC before and after PMCT, and their joint detection is expected to be an effective hematologic evaluation index of PMCT for primary HCC.

摘要

目的

探讨原发性肝细胞癌(HCC)患者经皮微波凝固治疗(PMCT)前后血清血管内皮生长因子(VEGF)、可溶性白细胞介素-2受体(SIL-2R)和肝细胞生长因子(HGF)含量的变化,并确定其临床意义。

材料与方法

收集81例经病理诊断为原发性HCC患者于PMCT前1天上午、PMCT后1天、7天及1个月清晨空腹静脉血3 mL,分离血清后保存于-70°。采用酶联免疫吸附测定(ELISA)法检测VEGF、SIL-2R和HGF含量。

结果

81例原发性HCC患者血清VEGF、SIL-2R和HGF含量在PMCT前后有明显动态变化。与PMCT后1天比较,术前VEGF和SIL-2R含量差异无统计学意义(P>0.05),但HGF含量差异有统计学意义(P<0.01)。与术前比较,PMCT后7天及1个月VEGF、SIL-2R和HGF含量差异均有统计学意义(P<0.01)。与PMCT后7天比较,1个月时VEGF含量差异无统计学意义(P>0.05),而SIL-2R和HGF含量差异有统计学意义(P<0.01)。

结论

原发性HCC患者血清VEGF、SIL-2R和HGF含量在PMCT前后有明显动态变化,联合检测有望成为PMCT治疗原发性HCC有效的血液学评估指标。

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