鼻咽癌放疗前后免疫功能改变及其临床意义 |
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引用本文: | 刘联斌,薛灵,周茂华,郭萍,黄刚,王小丽,吴伟.鼻咽癌放疗前后免疫功能改变及其临床意义[J].实验与检验医学,2012,30(3):279-281. |
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作者姓名: | 刘联斌 薛灵 周茂华 郭萍 黄刚 王小丽 吴伟 |
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作者单位: | 1. 赣州市肿瘤医院检验科,江西赣州,341000 2. 赣州市肿瘤医院放疗科,江西赣州,341000 |
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摘 要: | 目的探讨放疗对鼻咽癌患者免疫功能的影响。方法用流式细胞术检测134例初治鼻咽癌患者放疗前后细胞免疫表型的改变,比较两者免疫功能状况。结果134例患者放疗后CD3+、CD4+、CD4+/CD8+的均值比放疗前明显降低(P<0.01),CD8+明显升高。结论放射治疗可使鼻咽癌患者免疫功能明显下降,尤其是CD4+/CD8+的表达,提示放疗期间应辅以免疫治疗。
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关 键 词: | 鼻咽癌 放射治疗 T淋巴细胞亚群 流式细胞术 |
Changes and significance of immune function in nasopharyngeal carcinoma before and after radiotherapy |
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Institution: | LIU Lianbin,XUE Ling,ZHOU Maohua,et al.Department of Clinical Laboratory,Tumor Hospital of Ganzhou,Ganzhou 341000,China |
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Abstract: | Objective To study the impact of radiotherapy on the immune function of patients with nasopharyngeal carcinoma.Methods A total of 134 cases of previously untreated patients with nasopharyngeal carcinoma were studied.Cellular immune phenotype(CD3+,CD4+ and CD4+/CD8+) changes were tested by flow cytometry and the immune function was compared before and after radiotherapy.Results Levels of CD3+,CD4+ and CD4+/CD8+ decreased significantly(P<0.01) after radiation,while the level of CD8+ increased significantly.Conclusion Radiotherapy can weaken immune function and reduce the expression of CD4+/CD8+,suggesting that the immunotherapy should be supplemented during irradiation. |
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Keywords: | Nasopharyngeal carcinoma Radiotherapy T lymphocyte subsets Flow cytometry |
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