介入化疗对消化道肿瘤患者血清sICAM和bFGF的影响及临床意义
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Clinical significance and effects of intra-arterial chemotherapy on serum sICAM-1 and bFGF of patients with digestive system cancers
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    摘要:

    目的:探讨消化道肿瘤患者介入治疗前后血清可溶性细胞间黏附分子(sICAM-1)及碱性成纤维细胞生长因子(bFGF)的变化和临床意义。方法:采用双抗体夹心法(ELISA)测定35例中晚期消化道肿瘤患者介入化疗前后血清sICAM-1和bFGF的改变,并与30例健康对照组比较分析。结果:介入化疗组治疗前sICAM-1和bFGF均明显增高,与健康对照组比较差异显著(P < 0.01),伴有转移者显著高于不伴转移者(P < 0.05);化疗后介入化疗组sICAM-1和bFGF显著降低,治疗前后差异显著(P < 0.01)。其中介入化疗前sICAM-1和bFGF高表达者,半年后全部出现新的转移灶、病情恶化。结论: 介入化疗能显著降低肿瘤患者血清sICAM-1和bFGF的水平,联合检测sICAM和bFGF有助于判断肿瘤患者的预后。

    Abstract:

    Objective: To evaluate the clinical significance of serum sICAM-1 and bFGF change in digestive system cancers before and after intra-arterial chemotherapy. Methods:The levels of sICAM-1and bFGF of 35 patients with digestive system cancers before and after intra-arterial chemotherapy were measured by enzyme linked immunosorbent assay(ELISA) and compared with those of healthy controls. Results:The levels of sICAM-1 and bFGF of patients with digestive system cancers before intra-arterial chemotherapy were higher than those of healthy controls(P < 0.01), and were correlated to metastasis significantly(P < 0.05). After intra-arterial chemotherapy, the levels of sICAM-1 and bFGF were decreased(P < 0.01). All of the patients with high level of serum sICAM-1 and bFGF before intra-arterial chemotherapy had presented with new metastasis six months later. Conclusion:Intra-arterial chemotherapy can reduce the levels of sICAM-1 and bFGF in patients with digestive system cancers. Codetermination of sICAM-1 and bFGF may be helpful to judge prognosis.

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刘登洋,周宏平,张艳琳,狄长华.介入化疗对消化道肿瘤患者血清sICAM和bFGF的影响及临床意义[J].南京医科大学学报(自然科学版),2006,(11):1077-1079

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  • 收稿日期:2006-07-28
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