赣南医学院学报
贛南醫學院學報
공남의학원학보
JOURNAL OF GANNAN MEDICAL COLLEGE
2014年
6期
874-876
,共3页
自体%脾移植术%免疫功能%计算机断层扫描
自體%脾移植術%免疫功能%計算機斷層掃描
자체%비이식술%면역공능%계산궤단층소묘
autologous%spleen transplantation%immune function%computed tomography
目的:评价自体脾移植术后移植脾存活情况对免疫功能恢复的作用及临床意义。方法:回顾性分析24例因脾破裂行脾切除加自体脾移植术的病例,移植脾均置于大网膜囊中并有不同程度生长,并于术后1个月及4个月复查腹部CT,观察移植脾生长情况。分别获取术后1个月及4个月的IgG、IgM、IgA及C3值,分为A、B两组,A组为术后1个月IgG、IgM、IgA及 C3值,B组为术后4个月IgG、IgM、IgA及C3值,进行统计学分析。结果:A组IgG、IgM、IgA、C3值分别为(2.549±0.495)g·L-1、(0.276±0.057)g·L-1、(0.395±0.049)g·L-1、(0.284±0.069)g·L-1。B组分别为(5.638±1.069)g·L-1、(1.106±0.173)g·L-1、(0.963±0.217)g·L-1、(0.815±0.136)g·L-1,差异均有统计学意义( p<0.05)。结论:自体脾移植术是一种良好的保脾手术方式,而移植脾的存活情况与免疫功能的恢复密切相关,移植脾存活越好,免疫功能恢复也越好。对不符合行单纯脾切除手术及脾部分切除的患者应尽量采取此种术式,以提高患者预后生活质量。
目的:評價自體脾移植術後移植脾存活情況對免疫功能恢複的作用及臨床意義。方法:迴顧性分析24例因脾破裂行脾切除加自體脾移植術的病例,移植脾均置于大網膜囊中併有不同程度生長,併于術後1箇月及4箇月複查腹部CT,觀察移植脾生長情況。分彆穫取術後1箇月及4箇月的IgG、IgM、IgA及C3值,分為A、B兩組,A組為術後1箇月IgG、IgM、IgA及 C3值,B組為術後4箇月IgG、IgM、IgA及C3值,進行統計學分析。結果:A組IgG、IgM、IgA、C3值分彆為(2.549±0.495)g·L-1、(0.276±0.057)g·L-1、(0.395±0.049)g·L-1、(0.284±0.069)g·L-1。B組分彆為(5.638±1.069)g·L-1、(1.106±0.173)g·L-1、(0.963±0.217)g·L-1、(0.815±0.136)g·L-1,差異均有統計學意義( p<0.05)。結論:自體脾移植術是一種良好的保脾手術方式,而移植脾的存活情況與免疫功能的恢複密切相關,移植脾存活越好,免疫功能恢複也越好。對不符閤行單純脾切除手術及脾部分切除的患者應儘量採取此種術式,以提高患者預後生活質量。
목적:평개자체비이식술후이식비존활정황대면역공능회복적작용급림상의의。방법:회고성분석24례인비파렬행비절제가자체비이식술적병례,이식비균치우대망막낭중병유불동정도생장,병우술후1개월급4개월복사복부CT,관찰이식비생장정황。분별획취술후1개월급4개월적IgG、IgM、IgA급C3치,분위A、B량조,A조위술후1개월IgG、IgM、IgA급 C3치,B조위술후4개월IgG、IgM、IgA급C3치,진행통계학분석。결과:A조IgG、IgM、IgA、C3치분별위(2.549±0.495)g·L-1、(0.276±0.057)g·L-1、(0.395±0.049)g·L-1、(0.284±0.069)g·L-1。B조분별위(5.638±1.069)g·L-1、(1.106±0.173)g·L-1、(0.963±0.217)g·L-1、(0.815±0.136)g·L-1,차이균유통계학의의( p<0.05)。결론:자체비이식술시일충량호적보비수술방식,이이식비적존활정황여면역공능적회복밀절상관,이식비존활월호,면역공능회복야월호。대불부합행단순비절제수술급비부분절제적환자응진량채취차충술식,이제고환자예후생활질량。
Objective:To evaluate clinical significance of the survival of the transplanted spleen to the recovery of immune function after spleen autotransplantation. Methods:24 cases of splenectomy for traumatic splenic rupture and spleen auto-transplantation were Retrospective analyzed. All the transplanted spleens were put in omentum and grew to different de-grees. Each case was rechecked with abdominal CT,the growth of the transplanted spleens was observed and the values of IgG,IgM,IgA and C3 were obtained in the first month and fourth month after the surgery,and were divided into groups A and B for statistical analysis. Group A included the values of the first month and group B is the values of the fourth month after surgery. Results:The values of IgG,IgM,IgA and C3 in group A were(2. 549 ± 0. 495)g·L-1 ,(0. 276 ± 0. 057)g·L-1 ,(0. 395 ± 0. 049)g·L-1 ,and(0. 284 ± 0. 069)g·L-1 respectively,while The values of group B were (5. 638 ± 1. 069)g·L-1 ,(1. 106 ± 0. 173)g·L-1 ,(0. 963 ± 0. 217)g·L-1 ,and(0. 815 ± 0. 136)g·L-1 respec-tively. T There was statistically significant difference(p<0. 05). Conclusions:Spleen autotransplantation is a good way to protect spleen. The survival of the transplanted spleen is closely correlative to the recovery of immune function. The higher the survival rate of the transplanted spleen is,the better the immune function recovers. So,autologous spleen transplantation should be operated for the patients who do not meet the demands of pure splenectomy or partial splenecto-my in order to improve the quality of life after their surgery.