Efficacy of argon-helium cryoablation and its effects on immune function of patients with neck malignant tumours

Clin Otolaryngol. 2021 Jan;46(1):206-212. doi: 10.1111/coa.13648. Epub 2020 Oct 15.

Abstract

Objectives: Our study aimed to investigate the clinical efficacy of argon-helium cryoablation and its effects on the immune function of patients with neck malignant tumours.

Design: Retrospective study.

Setting: Single-institution academic tertiary care centre.

Methods: Totally, 180 patients harbouring head and neck malignant tumours were divided into the argon-helium cryoablation group (n = 150) and the radiotherapy group (n = 50). The efficacy of the two groups was compared, and the immune function was observed.

Results: The short-term clinical effect of the argon-helium cryoablation group was significantly higher than that of the radiotherapy group (P < .05). After treatment, the CD3+, CD4+, CD8+ and CD4+/CD8+ of the argon-helium cryoablation group were significantly better than those of the radiotherapy group (P < .001). The results of TNF-α, IL-1 β and CRP in the argon-helium cryoablation group were significantly better than that in the radiotherapy group (P < .001).

Conclusion: Argon-helium cryoablation could effectively improve the immune function, 5-year survival rate and local remission rate.

Keywords: argon-helium cryoablation; clinical efficacy; immune function; malignant tumour; neck; stereotactic radiotherapy.

MeSH terms

  • Adult
  • Argon*
  • C-Reactive Protein / metabolism
  • CD4-CD8 Ratio
  • Carcinoma / immunology
  • Carcinoma / mortality
  • Carcinoma / surgery*
  • Cryosurgery*
  • Female
  • Head and Neck Neoplasms / immunology*
  • Head and Neck Neoplasms / mortality
  • Head and Neck Neoplasms / surgery*
  • Helium*
  • Humans
  • Interleukin-1beta / blood
  • Male
  • Middle Aged
  • Retrospective Studies
  • Treatment Outcome
  • Tumor Necrosis Factor-alpha / blood

Substances

  • Interleukin-1beta
  • Tumor Necrosis Factor-alpha
  • Helium
  • Argon
  • C-Reactive Protein