摘要
本文收集经胃次全切除、病理学确诊、有术后随访结果、住院病历完整的胃癌102例,分析术前中医辨证分型与病理学分型、临床病理分期及术后存活率的关系。结果表明:肝胃不和型多为胃癌较早期证型,术后5年存活率为64%;脾肾阳虚、阴虚内热和气血双亏型多为胃癌晚期证型,术后5年存活率分别为5、8、12%;气滞血瘀型则介于上述两组之间,5年存活率为40%。
420 cases of bronchogenic carcinoma and their syndromes have studie in the light of TCM theories,using clinical pathologic method.According to different syrromes these cases of bronchogenic carcinoma are divided into types:Qi Xu(QX 气虚,deficiencyof energy),Qi Zhi Xue Yu(QZXY 气滞血瘀,energy stagnancy and blood stasis),Yin Xu Neie(YXNR 阴虚内热, deficiency of Yin with endogenous heat),Qi Yin Liang Xu(QYLX 气阴虚,deficiency of both cnergy and Yin),and Pi Xu Tan Shi(PXTS 脾虚痰湿,deficiency in thepleen with phlegm and damp)which are compared with roentgenologic and pathologic classificaons,with reference to pulmonectomic rate,stage of cancerous TNM and prognosis.There is indicion that type of QX is peripheral pulmonary carcinoma in the earlier stage and great majority of theases are in stage 1 or 2 in TNM and have a higher pulmonectomic rate and better prognosis.Types QYLX and PXTS bear mostly cancerous hydrothorax,over 80% of the cases are in stage 3o4 in TNM with lower pulmonectomic rate and worst prognosis being in the advanced stage of bronogenic carcinoma.Since types of QZXY and YXNR are in the main in stage 2 or 3 in TNM.the pulmonectomie rate and prognosis are between those of QX type and QYLX,PXTS types. The majority cases of squamous cell carcinoma belong to the type of YR in TCM.
