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用双抗体夹心酶联免疫吸附试验检测54例慢性粒细胞白血病(CML)患者血清可溶性白细胞介素2受体(sIL-2R)水平。结果显示:各期CML患者血清sIL-2R水平均显著高于正常对照,且和病情的严重程度密切相关,CML急变治疗后,有效者血清sIL-2R水平显著低于化疗前;无效者血清sIL-2R不低,甚至高于化疗前。急粒变时血清sIL-2R水平与外周血白细胞数、原始粒细胞绝对数及骨髓原始粒细胞绝对数呈正相关。血清sIL-2R水平可作为CML分期、监测CML急变、判定预后的一个有用的指标。
Serum soluble interleukin 2 receptor (sIL-2R) levels were measured in 54 patients with chronic myelogenous leukemia (CML) using double antibody sandwich enzyme-linked immunosorbent assay. The results showed that the levels of serum sIL-2R in CML patients at all stages were significantly higher than those in normal controls and closely related to the severity of the disease. After acute CML treatment, the levels of sIL-2R in patients with CML were significantly lower than those before chemotherapy; -2R is not low, even higher than before chemotherapy. Serum levels of sIL-2R in acute granulopathy were positively correlated with the number of leukocytes in peripheral blood, the absolute number of primitive myelocytes and the absolute number of bone marrow myeloblasts. Serum sIL-2R levels can be used as a CML staging, CML monitoring emergency, to determine the prognosis of a useful indicator.