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河北医学  2018, Vol. 24 Issue (9): 1429-1432    DOI: 10.3969/j.issn.1006-6233.2018.09.006
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喉癌病理特征同血管生成之间的关系及对近期治疗有效率的影响
顾磊, 文斐, 肖婕
鄂东医疗集团黄石市中心医院/湖北理工学院附属医院病理科, 湖北 黄石 435000
The Relationship between the Pathological Characteristics of Laryngeal Carcinoma and Angiogenesis and Effect on the Short-term Efficiency
GU Lei, WEN Fei, XIAO Jie
Huangshi Central Hospital of the Eastern Hubei Medical Group / Affiliated Hospital of Hubei Polytechnic University, Hubei Huangshi 435000, China
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摘要 目的: 探讨喉癌病理特征同血管生成之间的关系及对近期治疗有效率的影响。 方法: 选取2016年2月至2017年2月我院收治的喉癌患者120例,分析患者病理特征同血管生成之间的关系,并根据VM(血管生成拟态)结果分为阳性组以及阴性组,对比两组患者的治疗有效率。 结果: 超过60岁患者的MVD(单位面积内微血管的数量)明显高于低于60岁的患者,声门型患者的MVD明显高于声门上型以及声门下型,男患者的MVD明显高于女患者,低分化患者的MVD明显高于中分化以及高分化患者,差异均有统计学意义(P<0.05);T3、T4期患者的MVD高于T1、T2期,N1-3组患者的MVD高于N0患者,Ⅲ、期Ⅳ期患者高于Ⅰ期、Ⅱ期,差异均无统计学意义(P>0.05);喉癌患者的VM同HIF-1α(缺氧诱导因子-1α)阳性共表达例数为67例,结果提示二者存在显著相关性(r=0.526,P<0.05);近期有效率对比方面,VM阳性组患者的有效率显著低于阴性组,对比两组患者的治疗有效率(P<0.05)。 结论: 年龄、性别以及分化程度等病理特征同血管生成之间存在显著相关性,同时VM阳性患者的预后质量往往较差,需要引起医务人员的重视。
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顾磊
文斐
肖婕
关键词 喉 癌 病理特征 血管生成    
AbstractObjective: To analyze the correlation of pathological features of laryngeal cancer with the angiogenesis and its impact in the short-term clinical effective rate. Methods: 120 patients with laryngeal cancer treated from February 2016 to February 2017 in our hospital were selected. The correlation of pathological features of laryngeal cancer with the angiogenesis was analyzeds; the subjects were divided into positive group and negative group according to the VM (vasculogenic mimicry) results. The clinical effective rate for two groups was compared. Results: The MVD (microvessel density) for patients over 60 years old was significantly higher than patients below 60 years old; the MVD for glottic patients was significantly higher than supraglottic and subglottic patients;the MVD for male patients was significantly higher than female patients;the MVD for poorly differentiated patients was significantly higher than moderately and highly differentiated patients (P<0.05); the MVD for T3 and T4 of patients was higher than T1 and T2 of patients; the MVD for N1-3 group was higher than N0 patients; the MVD for stage Ⅲ and Ⅳ of patients was higher than stage Ⅰ and Ⅱ of patients (P>0.05); there were 67 positive cases of VM and HIF-1α(hypoxia-inducible factor); the results indicated that the two indicators were closely correlated with each other (r=0.526, P<0.0 5); the short-term effective rate for VM positive cases was lower than negative cases (P<0.05). Conclusion: There is a significant correlation between pathological features such as age, sex and degree of differentiation with angiogenesis, and the prognosis of VM positive patients is often poor, which needs to be paid attention to by medical staff.
Key wordsLaryngeal cancer    Pathological characteristics    Angiogenesis
    
基金资助:湖北省黄石市医疗卫生科技计划项目,(编号:HSYL2015000081)
引用本文:   
顾磊, 文斐, 肖婕. 喉癌病理特征同血管生成之间的关系及对近期治疗有效率的影响[J]. 河北医学, 2018, 24(9): 1429-1432.
GU Lei, WEN Fei, XIAO Jie. The Relationship between the Pathological Characteristics of Laryngeal Carcinoma and Angiogenesis and Effect on the Short-term Efficiency. HeBei Med, 2018, 24(9): 1429-1432.
链接本文:  
http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2018.09.006     或     http://www.hbyxzzs.cn/CN/Y2018/V24/I9/1429
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