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奥沙利铂联合方案化疗对TNM Ⅲ期结肠癌患者免疫功能及VEGF、p53表达的影响

秦菊芳 沈长兵

结直肠肛门外科2017,Vol.23Issue(3):356-360,5.
结直肠肛门外科2017,Vol.23Issue(3):356-360,5.

奥沙利铂联合方案化疗对TNM Ⅲ期结肠癌患者免疫功能及VEGF、p53表达的影响

Effect of FOLFOX on immunologic function and the expression of VEGF and p53 in advanced colorectal cancer after surgery

秦菊芳 1沈长兵1

作者信息

  • 1. 泰州市第二人民医院普外科 江苏泰州225500
  • 折叠

摘要

Abstract

Objective To discuss the effect of FOLFOX on immunologic function and the expression of VEGF and p53 in advanced colorectal cancer after surgery.Methods 90 patients with stage Ⅲ colorectal cancer admitted to our hospital from Jan 2010 to Dec 2015 were randomly assigned to the treatment group and control group,with 45 cases in each group.The curative effect,immunologic function and the expression of VEGF and p53 were compared between the two groups.Results The curative effect in the treatment group was significant better than in the control group.There were significant differences in local recurrence rate,metastasis rate and tumor-free survival rate between the two groups (P<0.05).The levels of IL-2,IFN-γ and TNF-α in the two groups were similar (P >0.05).After chemotherapy,the levels of IL-2,TNF-α and IFN-γdecreased significantly (P< 0.05) and were higher in the observation group than that in the control group (P< 0.05).There was no significant difference in IL-6,IL-10 and IL-4 between the two groups before chemotherapy (P > 0.05).After chemotherapy,the levels of IL-6,IL-10 and IL-4 in the two groups were significantly higher than those before chemotherapy (P< 0.05) and were significantly lower in the treatment group than that in the control group (P< 0.05).There was no significant difference in VEGF and p53 expression between the two groups (P > 0.05).After chemotherapy,the expression of VEGF and p53 in the two groups decreased significantly and were significantly lower in the treatment group than those in the control group (P< 0.05).Conclusion Postoperative Oxaliplatin chemotherapy has favorable effect for patients with advanced colorectal cancer.It stabilizes the immune function and lowers the level of expression of VEGF and p53.

关键词

奥沙利铂/结肠癌/免疫功能/VEGF/p53

Key words

Oxaliplatin/colorectal cancer/immune function/VEGF/p53

分类

医药卫生

引用本文复制引用

秦菊芳,沈长兵..奥沙利铂联合方案化疗对TNM Ⅲ期结肠癌患者免疫功能及VEGF、p53表达的影响[J].结直肠肛门外科,2017,23(3):356-360,5.

结直肠肛门外科

OACSTPCD

1674-0491

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