宫颈癌患者术前中医辨证分型与肿瘤临床分期及术后浸润转移相关性分析  

Clinical Correlation Analysis on Preoperative Traditional Chinese Medicine Syndrome Differentiation,Clinical Stage and Postoperative Infiltration and Metastasis for Cervical Cancer Patients

作　　者：靳亚妮 侯大乔[2] 李俊玲 

机构地区：[1]西安市中医医院妇科,陕西西安710021 [2]宝鸡市人民医院妇产科,陕西宝鸡721000

出　　处：《四川中医》2017年第12期51-54,共4页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：目的:研究分析宫颈癌患者术前中医辨证分型与肿瘤临床分期及术后浸润转移之间的关系。方法:选取2014年3月至2017年2月在西安市中医医院和宝鸡市人民医院共同接受治疗确诊为宫颈癌的患者88例,平均年龄(44.8±10.2)岁,在患者入院的当天记录其证候,填写辨证的分型表,根据辨证的准则对患者进行分型;同时由两位副主任以上的医师对其进行临床的分期;患者手术以后持续随访,依据患者的手术记录和送检的组织病理的检测来判别病情进展情况。统计分析患者辨证分型和临床分期、浸润转移间的联系。结果:参与研究的患者中,58例为HPV阳性,患者证型分布于HPV性质差异无统计学意义(P>0.05);CA72~4的阳性表达和患者证型的分布差异有统计学意义(P<0.05),其他与患者证型分布差异无统计学意义(P>0.05);患者不同的病理类型、临床分期和患者的证型分布差异无统计学意义(P>0.05);患者不同的分化程度、浸润转移和患者的证型分布差异无统计学意义(P>0.05)。结论:宫颈癌患者术前中医辨证分型与肿瘤临床分期及术后浸润转移有一定相关性,对中医防治有一定指导作用。Objective： To study the relationship between preoperative TCM syndrome differentiation and tumor staging and postoperative infiltration and metastasis in patients with cervical cancer. Methods ： 88patients with cervical cancer who underwent treatment in Xi＇an Hospital of Traditional Chinese Medicine and Baoji People＇s Hospital from March 2014to February 2017were selected. The average age （44. 8±10. 2） years was recorded. The syndrome was recorded on the day of admission. Table, according to the dialectical criteria for the classification of patients, at the same time by two deputy director of the physician to its clinical staging, patients after surgery continued follow-up, according to the patient＇s surgical records and inspection of histopathological examination to determine the condition The progress. Statistical analysis of patients with dialectical classification and clinical stage, the relationship between infiltration and metastasis. Results： There were no significant differences in the distribution of HPV between 58patients （HPV） and HPV （P〉0. 05 ）. The positive expression of CA72- 4and the distribution of TCM syndromes were statistically significant （P〉0. 05 ）. There was no significant difference between the two groups （P〉0.05）. There was no significant difference between the two groups （P〉0. 05）. There was no significant difference between the two groups. There was no significant difference in differentiation, infiltration and metastasis between the two groups （P〉0. 05）. Conclusion： There is a certain correlation between preoperative TCM syndrome differentiation and clinical stage and postoperative infiltration and metastasis of cervical cancer patients, which can guide the prevention and treatment of traditional Chinese medicine.

关 键 词：宫颈癌 中医辨证分型 临床分期 肿瘤浸润转移 

分 类 号：R711.74[医药卫生—妇产科学]