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通过测定子宫内膜异位症患者细胞免疫功能以探讨其发病因素。采用单克隆抗体(CD3、CD4、CD8、CD56)对20例子宫内膜异位症患者,20例子宫肌瘤患者,20例正常妇女外周血T淋巴细胞亚群进行检测。结果:与正常妇女比较,内异症组T3、T4、T4/T8明显下降,有显著差异(P<0.01);T8稍高(P>0.05)。与肌瘤组比较,内异症组T4、T8稍低,T3相近,T4/T8稍高,无显著差异(P>0.05)。肌瘤组与正常妇女比较,T3、T4/T8明显下降(P<0.01),T4稍下降(P>0.05),T8明显上升(P<0.05)。三组间NK细胞值为肌瘤组>内异症组>正常组,无显著差异(P>0.05)。提示:内异症患者细胞免疫功能低下,与子宫肌瘤患者相近。细胞免疫功能失调可能为其发病因素之一。
By measuring the cellular immune function in patients with endometriosis to explore its risk factors. T lymphocyte subsets in 20 patients with endometriosis, 20 patients with uterine fibroids and 20 normal women were detected by monoclonal antibodies (CD3, CD4, CD8, CD56). Results: Compared with normal women, T3, T4 and T4 / T8 in endometriosis group were significantly decreased (P <0.01); T8 was slightly higher (P> 0.05). Compared with myoma group, T4, T8 slightly lower, T3 similar, T4 / T8 slightly higher, no significant difference (P> 0.05). Compared with normal women, myoma group showed a significant decrease of T3, T4 / T8 (P <0.01), a slight decrease of T4 (P> 0.05) and a significant increase of T8 (P <0.05). NK cells among the three groups were fibroid group> endometriosis group> normal group, no significant difference (P> 0.05). Tip: Endometriosis patients with cellular immune dysfunction, similar to patients with uterine fibroids. Cellular immune dysfunction may be one of the pathogenesis.