实用肿瘤学杂志 ›› 2015, Vol. 29 ›› Issue (2): 106-110.doi: 10.11904/j.issn.1002-3070.2015.02.003

• 论著 • 上一篇    下一篇

胃癌根治术后感染性并发症与患者T淋巴细胞亚群改变的相关性研究

尹高平,王军力,张宇   

  1. 滨州医学院烟台附属医院胃肠外科(烟台 264100)
  • 收稿日期:2014-09-05 出版日期:2015-04-28 发布日期:2015-05-05
  • 通讯作者: 尹高平,E-mail:yingaoping197409@163.com E-mail:yingaoping197409@163.com
  • 作者简介:尹高平,男,(1974-),学士,主治医师,从事普外肿瘤方面的研究

The correlation between infectious complications after radical resection of gastric cancer and the changes of T lymphocyte subsets in the patients with gastric cancer

YIN Gaoping,WANG Lijun,ZHANG Yu   

  1. Gastrointestinal Surgery,Yantai Hospital Affiliated to Binzhou Medical University,Yantai 264100,China
  • Received:2014-09-05 Online:2015-04-28 Published:2015-05-05

摘要: 目的 探讨T细胞亚群前后曲线变化与胃癌根治术后感染性并发症的关系。方法 分析2012年2月—2014年2月在辽宁省盘锦市中心医院接受外科手术治疗的70例胃癌患者的临床资料。根据患者术后是否出现感染性并发症分为观察组(出现并发症的患者)和对照组(无并发症的患者)。比较两组患者的T淋巴细胞的亚群结果。结果 本研究共纳入患者70例,其中观察组33例,对照组37例。术后4d时,观察组患者的CD3显著低于对照组(P<0.05),其余时间段并无统计学差异(P>0.05);术后4d时,观察组患者的CD4水平显著低于对照组(P<0.05),其余时间段并无统计学差异(P>0.05);术后4d(P<0.01)和术后9d(P<0.05)时,观察组患者的CD8水平低于对照组,其余时间段并无统计学差异(P>0.05);术后4d(P<0.05)和术后9d(P<0.05)时,观察组患者的CD4/CD8水平低于对照组,其余时间段并无统计学差异(P>0.05)。结论 T淋巴细胞亚群术前、术后的曲线变化与胃癌根治术后感染性并发症的发生率有着显著的相关性。

Abstract: Objective Our retrospective study is aimed to discuss the relationship between the curve changes of T lymphocyte subsets before and after the operation and the infectious complications after radical resection of gastric cancer.Methods Clinical data of patients with gastric cancer received treatment at Central Hospital of Panjin City,Liaoning Province from 2012 to 2014 were retrospectively analyzed.The enrolled patients were divided into two groups according to the infectious complications,observe group(patients with infectious complications)and control group(patients without infectious complications).The results of T lymphocyte subsets in two groups were compared.Results A total of 70 patients was retrospective analyzed,including 33 pationts in observe group and 37 pationts in control group.At the 4th day after operation,the levels of CD3,CD4 in the observe group were obviously lower than those in control group.There was no statistical difference at the other time points.At the 4th and 9th day after operation,the levels of CD8,CD4/CD8 rate in the observe group were obviously lower than those in control group.There was no statistical difference at the other time points.Conclusion There is remarkable relationship between the curve changes of T lymphocyte subsets before or after the operation and the incidence of infectious complications after radical resection of gastric cancer.

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