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用ELISA及APAAP法分别检测了39例乙型肝炎病毒(HBV)感染者、15例有HBV感染的肝癌患者及20例正常人的血清可溶性白细胞介素-2受体(SIL-2R)和外周血T淋巴细胞亚群。结果显示,肝癌及HBV感染者的血清SIL-2R均明显高于正常人(P<0.01),肝癌患者的SIL-2R明显高于HBV感染者(P<0.01)。肝癌患者及HBV感染者的CD3、CD4、CD8、CD4/CD8与对照相比均有显著差异(P<0.05),而肝癌与HBV感染者相比无显著差异(P>0.05)。提示HBV感染者及肝癌患者均存在细胞免疫功能紊乱,尤以肝癌患者明显;CD4、CD4/CD8下降可能是引发肝癌的基础;血清SIL-2R显著升高可能是肝癌发生的重要原因,也是HBV感染者可能发生癌变的重要指标。
The serum soluble interleukin-2 receptor (SIL-2R) and peripheral serum of 39 patients with hepatitis B virus (HBV) infection, 15 patients with liver cancer with HBV infection, and 20 normal individuals were detected by ELISA and APAAP method. Blood T lymphocyte subsets. The results showed that the serum levels of SIL-2R in patients with hepatocellular carcinoma and HBV infection were significantly higher than those in normal controls (P<0.01). The SIL-2R in patients with hepatocellular carcinoma was significantly higher than those in patients with HBV infection (P<0.01). The difference of CD3, CD4, CD8, CD4/CD8 between patients with hepatocellular carcinoma and HBV infection was significant (P<0.05), but there was no significant difference between liver cancer and HBV infection (P>0.05). . It is suggested that there are cell immune disorders in patients with HBV infection and liver cancer, especially in patients with liver cancer; the decline of CD4 and CD4/CD8 may be the basis for triggering liver cancer; a significant increase in serum SIL-2R may be an important cause of liver cancer, and also HBV Infected persons may have important indicators of canceration.