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目的： 通过肝泡球蚴 （ＨＡＥ） 病的Ｂ 超声像评价其临床分型与可溶性白介素－２ 受体 （ｓＩＬ－２Ｒ） 水平的关系。方法： 通过对１７ 例 ＨＡＥ 患者Ｂ 超声像图及血清ｓＩＬ－２Ｒ 水平测定， 并以１２ 例健康人作对照， 比较二者之间的相关关系。结果： ＨＡＥ 患者ｓＩＬ－２Ｒ 浓度均质为３１６．１８±２６５．５１ｐｇ／ｍ ｌ， 较正常对照组明显升高 （Ｐ＜ ０．００２）。以对照组上限 （１１５±６８．９５ｐｇ／ｍ ｌ） 为界， １７ 例ＨＡＥ 患者中之 １１ 例ｓＩＬ－２Ｒ 高于此值， 病灶最大直径大于６ｃｍ ， Ｂ 超声像以巨大非均质性高回声损害为主， 部分伴有门Ｖ．， 下腔Ｖ． 和胆囊壁的损害， 它们分别属于ＨＡＥ 的Ｉ型和Ｐ 型的Ｐ４， Ｐ３ 和Ｐ２ 级； 低于此界值的 ６ 例中的５ 例， 病灶最大径在 ５ｃｍ 以下， Ｂ 超声像以高回声或伴有部分钙化的结节性损害为主， 属Ｐ２ 和Ｐ１ 期。结论： ｓＩＬ－２Ｒ 水平测定可作为ＨＡＥ 临床分型的指标之一。其水平增高表示ＡＥ 病变的进展期， 反之表示病变初期或稳定阶段。
OBJECTIVE: To evaluate the relationship between clinical classification and serum soluble interleukin-2 receptor (sIL-2R) level by ultrasound imaging of hepatic echinococcosis (HAE). Methods: The ultrasound images and serum levels of sIL-2R in 17 patients with HAE were measured. Twelve healthy controls were used as controls, and the correlation between them was compared. Results: The concentration of sIL-2R in HAE patients was 316.18 ± 265.51pg / ml, which was significantly higher than that of the normal controls (P <0.002). The upper limit of the control group (115 ± 68.95pg / m l) as the boundary, 11 cases of HAE in 17 cases of sIL-2R higher than this value, the maximum diameter of the lesion is greater than 6cm, B ultrasound image with a huge heterogeneity of hyperechoic Damage-based, partially accompanied by the door V. , Lower chamber V And gallbladder wall lesions, which belong to the HAE type I and P type of P4, P3 and P2; below this value in 6 cases in 5 cases, the lesion maximum diameter of 5cm or less, B ultrasound images with high echo Or with some calcification of nodular lesions, is a P2 and P1 period. Conclusion: The determination of sIL-2R level can be used as one of the clinical classification of HAE. The higher level of AE lesions that progress, while the lesion that the initial or stable stage.