摘要
目的比较病态肥胖症(MO)患者行腹腔镜可调节捆扎带胃减容术(LAGB)手术前后的免疫功能。方法MO组15例,平均体重指数(BMI)358kg/m2,于2003年6月2003年10月行LAGB,监测手术后体重变化。并于术前、术后1、3、6个月测定外周血T淋巴细胞总数(TLC)、T细胞亚群(CD+3、CD+4、CD+8、CD+4/CD+8)、自然杀伤细胞(NKC)百分比、血浆白细胞介素2(IL2)、白细胞介素6(IL6)浓度等免疫指标。对照组15例,平均BMI236kg/m2,入院时检测上述指标。应用SPSS110统计分析软件对各组数据进行统计学分析。结果MO组与对照组相比,术前CD+4、CD+4/CD+8显著降低(P<001),血浆IL2、IL6浓度显著升高(P<001)。LAGB术后6月体重、BMI、腰围及臀围均明显下降(P<001)。与术前相比,MO组术后6个月CD+4、CD+4/CD+8明显升高(P<005),但仍低于对照组(P<001);IL2、IL6浓度明显降低(P<001,P<005)。结论MO患者合并免疫功能异常,LAGB术后体重减轻后,免疫功能可部分改善。
Objective To compare the immunity of morbid obesity(MO) before and after laparoscopic adjustable gastric banding (LAGB). Methods 15 cases, with a mean body mass index(BMI) of 35.8 kg/m2, were treated by LAGB from Jun. 2003 to Oct. 2003 in our department. Patients′ immune parameters were determined preoperatively and 1, 3 and 6 months postoperatively. 15 cases with a normal BMI(23.6 kg/m2) were set as controls. Results Before surgery, the MO had a significant lower level of CD+_4,CD+_4/CD+_8 and a higher level of serum interleukin-2(IL-2),Interleukin-6(IL-6)than the controls^(P<0.01). There was a significant reduction of weight and BMI 6 months postoperatively (P<0.01). At the same time, CD+_4 increased and serum IL-2 decreased significantly. But CD+_4/CD+_8 and serum IL-2、IL-6 were still abnormal compare to the controls. Conclusions MO may combined with an abnormal immunity. But after enough weight loss induced by LAGB, it can be partly reversed.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2005年第5期309-312,共4页
Chinese Journal of Surgery