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中文摘要: 目的 探讨宫颈高危人乳头瘤病毒(HPV)感染者外周血淋巴细胞亚群变化的意义。方法 选取2014年8月至2016年8月期间中核四〇四医院收治的HPV基因分型检测为阳性的373例患者为研究组,HPV基因分型检测为阴性的85例患者为对照组。流式细胞检测法检测各组外周血中淋巴细胞亚群(CD3+、CD4+、CD8+)数量,计算CD4+/CD8+比值。比较研究组中,不同CIN分型、宫颈癌分期、组织分化及淋巴结转移患者T细胞亚群的检测结果。结果 研究组外周血中CD3+、CD4+淋巴细胞亚群数量较对照组有不同程度降低,CD8+淋巴细胞亚群数量较对照组有不同程度升高,CD4+/CD8+比值较对照组有不同程度降低,经比较差异有统计学意义(P<0.05)。随着CIN分级、宫颈癌分期的增加,外周血中CD3+、CD4+淋巴细胞亚群数量逐渐降低,CD8+淋巴细胞亚群数量逐渐增加,CD4+/CD8+比值逐渐降低,组间比较差异有统计学意义(P<0.05)。分化程度越低、淋巴结转移阳性的患者,外周血CD4+淋巴细胞亚群数量越低,CD8+淋巴细胞亚群数量越高,CD4+/CD8+比值越低,组间比较差异有统计学意义(P<0.05)。结论 宫颈高危人乳头瘤病毒(HPV)感染者存在细胞免疫功能低下,淋巴细胞亚群及CD4+/CD8+比值的检测有助于预测HPV感染的转归。
Abstract:OBJECTIVE To explore the significance of the changes of peripheral blood lymphocyte subgroups in patients with cervical high-risk HPV infection. METHODS From August 2014 to August 2016, 373 patients with positive HPV genotyping were research group , and 85 patients with negative HPV were control group. The number of lymphocyte subgroups (CD3 +, CD4 +, CD8 +) in peripheral blood of each group was detected by flow cytometry, and CD4+/CD8+ ratio was calculated. In the research group, the
detection results of T cell subgroups of patients with different CIN types, cervical cancer staging, tissue differentiation and lymph node metastasis were compared.RESULTS In research group, the peripheral blood CD3 +, CD4 + lymphocyte subgroup amount is lower than the control group, CD8 + lymphocytes subgroup number
higher than that of control group, CD4 + / CD8 + ratio is lower than the control group, the comparative difference were statistically significant (P﹤0.05). With the increase of CIN grade, cervical cancer staging, CD3 +, CD4 + lymphocytes in peripheral blood gradually decline, the number of the group of CD8 + lymphocytes subgroup amount increase gradually, the CD4 + / CD8 + ratio gradually reduce, compare the difference between groups has statistically significant (P﹤0.05). The degree of differentiation, lymph node metastasis positive patients were lower, the number of peripheral blood CD4 + lymphocyte subgroup was lower, the number of CD8 + lymphocytes subgroup was higher, CD4 + / CD8 + ratio was lower, the difference between groups have statistically significant (P﹤0.05).CONCLUSION The detection of lymphocyte subgroup and CD4+/CD8+ ratio can help predict the return of HPV infection.
文章编号:3201902014 中图分类号:R1-9 文献标志码:
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