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宫颈癌预后影响因素的临床分析及研究 被引量:7

Clinical analysis of prognostic effect of COX-2 and HPV16-E6 on patients with cervical cancer
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摘要 目的研究环氧合酶-2(cyclooxygenase-2,COX-2)、人乳头瘤病毒16-E6(human papillomavirus16-E6,HPV16-E6)及临床病理特征对宫颈癌患者预后的影响。方法采用免疫组化S-P法,检测92例接受综合治疗的宫颈癌患者石蜡切片中COX-2、HPV16-E6的表达情况,探讨COX-2及HPV16-E6对宫颈癌预后的影响。结果COX-2、HPV16-E6及病理分级、临床分期、淋巴结转移、病灶直径、宫旁浸润或脉管瘤栓对宫颈癌预后的影响有统计学意义(P<0.05),年龄、病理类型、治疗方式、肌层浸润深度对患者的预后无统计学意义(P>0.05)。结论 COX-2、HPV16-E6、临床分期、淋巴结转移、宫旁浸润或脉管瘤栓为宫颈癌的独立预后因素。 Abstract:Objective To investigate the prognostic effect of COX-2.HPV16-E6 on patients with cervical cancer. Methods The clinieopathologie and follow-up data of 92 patients with cervical cancer received integrative therapy from Mar.2004 to Dee.2009 were collected and analyzed. The expression of COX-2 and HPV16-E6 protein of the cervical epithelial cancer was detected with immunohistochemical techniqueand to the prognostic effect of COX-2 and HPV16-E6 on cervical cancer cases was investigated. Results The 3-years overall survival rate was 82.0%. Univariate and multi-factor analysis manifested that pathological grade, clinical stage, pelvic lymph node metastasis, tumor size, fatero-uterus or vessel infiltration,COX-2 and HPV 16-E6 showed significant differemce on the prognosis (P〈0.05). Age,pathological type,thempic modality,muscular layer invasive depth did not show statistically significant difference (P〉O.05). Conclusions Cclinical stage,lymph node metastasis,latero-uterus or vessel infiltration,COX-2 and HPV 16-E6 are independent prognostic factors affecting the survival of patients with cervical cancer.
机构地区 邯郸市中心医院
出处 《中国热带医学》 CAS 2013年第10期1272-1274,1292,共4页 China Tropical Medicine
关键词 关键词 宫颈癌 环氧合酶-2 人乳头瘤病毒16-E6 预后 Key words:Cervical cancer , COX-2 HPV16-E6 Prognosis
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