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原因不明性复发性流产淋巴细胞免疫治疗的剂量及疗效研究

王海燕 吴晓云 李晓荣 魏丽娜 邱惠麒 朱国战 周媛萍

浙江医学Issue(20):1813-1815,3.
浙江医学Issue(20):1813-1815,3.

原因不明性复发性流产淋巴细胞免疫治疗的剂量及疗效研究

Efficacy of immunotherapy with different doses for unexplained recurrent spontaneous abortion

王海燕 1吴晓云 1李晓荣 1魏丽娜 1邱惠麒 1朱国战 1周媛萍1

作者信息

  • 1. 313000 湖州市妇幼保健院生殖中心
  • 折叠

摘要

Abstract

Objective To assess the efficacy of lymphocyte therapy with different doses for unexplained recurrent spon-taneous abortion (URSA). Methods One hundred and sixty five women with URSA received lymphocyte therapy with different doses. The outcomes of pregnancy were documented and the percentage of CD4+CD25+Tr in peripheral blood was measured by flow cytometry before and after lymphocyte therapy. Results Among 165 patients re- pregnancy was obtained in 121 cases, in whom 87 cases were successful y delivered, 14 cases had early abortion and 20 cases were stil under pregnancy with a success rate of 88.5%. Thirty seven cases with low dose treatment all obtained re- pregnancy, including 29 cases of successful delivery and 8 cases of early abortion with a success rate of 72.4%, which was significantly lower than that of high dose group (92.3%, P<0.05). After treatment the level of CD4 +CD25bright T was significantly (P<0.05) higher than before treatment. The CD4 +CD25 +Tr and CD4 +CD25bright T levels in patients with successful pregnancy were significantly higher than those with failed pregnancy (P<0.05). Conclusion Lymphocyte therapy is effective for URSA women, particularly with high dose lymphocytes, which is associ-ated with increased CD4 +CD25bright T and CD4 +CD25bright Tr levels in peripheral blood.

关键词

原因不明性复发性流产/CD4+CD25+T细胞/淋巴细胞免疫治疗

Key words

URSA/CD4+CD25+Tr/Lymphocyte therapy

引用本文复制引用

王海燕,吴晓云,李晓荣,魏丽娜,邱惠麒,朱国战,周媛萍..原因不明性复发性流产淋巴细胞免疫治疗的剂量及疗效研究[J].浙江医学,2013,(20):1813-1815,3.

基金项目

湖州市科技计划项目 ()

浙江医学

OACSTPCD

1006-2785

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