Changes of T lymphocyte subsets in patients with idiopathic thrombocytopenic purpura after laparoscopic splenectomy

VernacularTitle:特发性血小板减少性紫癜患者腹腔镜脾切除术后T 淋巴细胞亚群的变化
Author: Lifeng MA ; Chenyu WANG ; Ruo WANG ; Lichao ZHANG ; Guochao LIU ; Jianlong WANG ; Jiansheng KANG
Publication Type:Journal Article
Keywords: Idiopathic thrombocytopenic purpura; Laparoscope; Splenectomy; T lymphocyte subsets
From:Clinical Medicine of China 2015;(4):340-342
CountryChina
Language:Chinese
Abstract: measured to compare the correlation between the changes of T lymphocyte subsets before and after operation and the change of platelet. Results Thirty-one patients were underwent laparoscopic splenectomy. The T lymphocyte subsets and CD3 + ,CD4 + and CD3 + / CD4 + in all patients showed an increase trend as the time prolonged after operation,and the differences were significant( F = 6. 91,3. 93,4. 18;P = 0. 023,0. 004,0. 011). While the ratio of CD3 + / CD8 + and CD3 + CD4 + / CD3 + CD8 + were decreased as time increased,and differences were statistically significant( F = 2. 59,3. 67;P = 0. 001,0. 002). They were related with platelet change after operation and correlation statistics analysis showed R values were 0. 332,0. 271,0. 345,- 0. 119,- 0. 164,and the P value were 0. 039,0. 021,0. 002,0. 017,0. 023. Conclusion ITP patients have the imbalance of T lymphocyte subsets,and splenectomy can improve the imbalance of T lymphocyte subsets in patients with ITP. T lymphocyte subsets may serve as a reference index to indicate the prognosis of the patients.