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分别采用ELISA和RIA对36例卵巢恶性肿瘤、34例妇科良性肿瘤患者及31例正常女性献血员血清可溶性白细胞介素-2受体(sIL-2R)和CA125水平进行检测。结果:术前卵巢恶性肿瘤患者血清SIL-2R和CA125水平均明显高于良性及正常对照组(P<0.01)。血清sIL-2R检测恶性肿瘤的敏感性为77.8%,特异性为76.5%。血清CA125的敏感性为83.3%,特异性为73.5%。其中,对卵巢上皮癌敏感性为90.4%。联合检测卵巢恶性肿瘤患者血清sIL-2R和CA125的敏感性为57.4%,特异性为94.7%。提示:术前单项血清sIL-2R或CA125不能作为诊断和筛选卵巢恶性肿瘤的依据,联合检测血清sIL-2R或CA125可明显提高特异性,降低假阳性率,有助于临床手术方式的制定和以后治疗成功的可能性。
Serum soluble interleukin-2 receptor (sIL-2R) and CA125 levels were detected by ELISA and RIA in 36 cases of ovarian cancer, 34 cases of benign gynecologic tumors and 31 cases of normal female. Results: The serum levels of SIL-2R and CA125 in preoperative ovarian cancer patients were significantly higher than those in benign and normal controls (P <0.01). Serum sIL-2R detection of malignant tumors was 77.8%, specificity was 76.5%. Serum CA125 sensitivity was 83.3% and specificity was 73.5%. Among them, the sensitivity of epithelial ovarian cancer was 90.4%. The combined detection of serum sIL-2R and CA125 in patients with ovarian cancer was 57.4% with a specificity of 94.7%. It is suggested that preoperative single serum sIL-2R or CA125 can not be used as a basis for diagnosis and screening of ovarian cancer. Combined detection of serum sIL-2R or CA125 can significantly improve the specificity and reduce the false positive rate, which is helpful for the development of clinical surgical methods and The possibility of success after treatment.