静脉营养对机体免疫功能及胃癌细胞动力学的作用

被引:14
作者
曹伟新
燕敏
林言箴
尹浩然
朱寿柱
李树发
吕次平
纪玉宝
陈雪华
机构
[1] 上海第二医科大学附属瑞金医院普外科
关键词
胃肿瘤; 癌; 细胞周期; 胃肠外营养; 免疫测定;
D O I
暂无
中图分类号
学科分类号
摘要
15例进展期胃癌患者于术前接受肠外营养支持.并于PNS前后分别通过胃镜及术中取正常胃粘模和胃癌组织.经FCM分析细胞周期各时相百分率的变化。同期作免疫功能测定:结果发现,PNS后,胃癌细胞的G0/G1%显著下降(P<0.01),S—G2—M%则明显增加(P<0.025)。正常胃粘膜细胞无类似的变化。此外,PNS后自然杀伤细胞(NKC)活性有所增加,但以CD~+4的增加最为显著(P<0.05)。提示:术前PNS有助于改善胃癌患者的免疫力,同时亦可能刺激肿瘤细胞增殖。因而,为在增殖期应用化疗提供了可行性。
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页数:4
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