鼻咽癌证型与颈淋巴结肿大关系的临床观察

Clinical Observation on the Relation between Symptom-Complex and Cervical Lymphadenclasis of Nasopharyngeal Carcinoma

作者对387名未经放疗、化疗的鼻咽癌病例进行分型归组,然后就各型与颈淋巴结肿大的有无及大小的关系进行了观察。结果发现:在387名病例中,未见颈淋巴结肿大者,以淤血型和火毒型的出现率较高(P<0.05);若颈淋巴结直径小于3cm,各型间差别不大(P>0.05);若直径大于3cm,以痰浊类证型的出现率较高,与淤血类证型比较,差异非常显著(P<0.01)。因此,作者认为:颈淋巴结肿大的有无及大小似可视为鼻咽癌辨证分型的参考指标之一。

In order to explore the relation between symptom-complex and cervical lymphadeneclasis of nasopharyngeal carcinoma (NPC), 387 cases were separated into several groups and cervical lymphadeneclasis was examined and measured. The authors found that if cervical lymphadeneclasis was not detected, the rates of Fire-toxin syndrome and syndromes relating to blood stasis ( SRBS) were higher than other syndromes ( P<0.05 ). If thediameter of cervical lymphadeneclasis was less than 3cm,no significan tdiffe-reace was discovered among all syndromes,and if the diameter wsa more than 3cm,the rates of syndromes relating to phlegm was much higher than that of SRBS(P<0.01). Such results indicate that different condition of cervical lymphadeneclasis is associated with different syndromes. Therefore,we conclude that cervical lymphadeneclasis should be determined and used as one of the reference parameters of differentiation of NPC.