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鼻咽癌患者外周血T淋巴细胞群的临床意义
引用本文:何承诚,司勇锋,陈乾美,周富玲,陶仲强,张政. 鼻咽癌患者外周血T淋巴细胞群的临床意义[J]. 贵州医药, 2008, 32(10): 875-877
作者姓名:何承诚  司勇锋  陈乾美  周富玲  陶仲强  张政
作者单位:广西壮族自治区人民医院耳鼻咽喉科,南宁,530021;贵阳医学院附属医院耳鼻咽喉科,550004
摘    要:目的分析比较鼻咽癌患者经过放疗、化疗、免疫综合治疗前、后鼻咽癌患者细胞的免疫功能。方法应用碱性磷酸酶抗碱性磷酸酶法(APAAP)对44例患者外周血T淋巴细胞亚群进行检测,并将治疗前、后复发-残留-转移者与无复发-残留-转移者组的检测结果进行比较分析。结果鼻咽癌患者治疗后复发-残留-转移组CD4 /CD8 较无复发-残留-转移组明显降低(P<0.05),而鼻咽癌患者治疗前、后以及治疗前复发-残留-转移组CD4 /CD8 与无复发-残留-转移组的CD3 、CD4 、CD8 、CD4 /CD8 无明显变化(P>0.05)。结论鼻咽癌患者治疗后的CD4 /CD8 可预测其复发、残留或转移,免疫治疗对于鼻咽癌患者有积极意义。

关 键 词:鼻咽癌  细胞免疫功能  T淋巴细胞亚群

The Clinial Significance of Cellular Immunity Determination in Patients with Nasopharyngeal Carcinoma
He Chengcheng,Si Yongfeng,Chen Qianmei,et al.. The Clinial Significance of Cellular Immunity Determination in Patients with Nasopharyngeal Carcinoma[J]. Guizhou Medical Journal, 2008, 32(10): 875-877
Authors:He Chengcheng  Si Yongfeng  Chen Qianmei  et al.
Affiliation:He Chengcheng,Si Yongfeng,Chen Qianmei,et al.Department of Otolaryngology,People's Hospital of Guangxi Zhuangzu Automous Region,Nanning 530021,Guangxi,China.Department of Otolaryngology,The Affiliated Hospital of Guiyang Medical College,Guiyang 550004,Guizhou,China
Abstract:Objective To analyze the cellular immunity in patients with nasopharyngeal carcinoma after the combination therapy which including radiotherapy,chemotherapy and immunotherapy.Methods There are 29 residual-recurrent-metastasis patients and 15 no residual-recurrent-metastasis patients of NPC after the combination therapy.The T-lymphocyte subsets of periphery blood were assayed by using(APAAP) technique.Results The ratio of CD4 /CD8 were lower in residual-recurrent-metastasis group(RRMG) than in no residual-recurrent-metastasis group(NRRMG) after the combination therapy(P<0.05).The percentage of CD3 ,CD4 ,CDS and CD4 /CD8 were no marked changes both in after-before the combination therapy and in before NRRMG(P>0.05).Conclusion The ratio of CD4 /CD8 of the patients with nasopharyngeal carcinoma after the therapy can anticipate the residual,recurrent and metastasis immunotherapy has the positive significance.
Keywords:Nasopharyngeal carcinoma Cellular immunity T-lymphocyte
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