原发性支气管肺癌中医证型与螺旋CT表现及病理分型的相关性分析

Analysis of the Relationship among Types of Traditional Chinese Medicine in Primary Bronchogenic Carcinoma,Signs of Spiral CT and Pathological Grading

目的:探讨原发性支气管肺癌中医证候与临床分期及病理分型相关性,为支气管肺癌中医证候分型提供客观指标。方法:回顾性分析68例原发性支气管肺癌(以下简称肺癌)中医证候与临床分期及组织病理学类型,研究各证候与临床分期及病理分型间的相关性。结果:四种证候中医证型和组织病理学类型尚有统计学联系;不同的中医证候的胸腔积液征具有统计学意义,其他空泡征、毛刺征等MSCT征象与中医证候尚未具有统计学意义。结论:原发性支气管肺癌MSCT表现存在着一定的相关性,统计结果对确定肺癌临床证候分型标准有重要意义,可作为临床辨证论治及疗效评价的依据。

Objective ： Making an inquiry into the relationship among types of Traditional Chinese Medicine in primary bronchogenic carcinoma,signs of spiral CT and pathological grading,and provide objective index for TCM syndrome differentiating. Methods：We made a retrospective study of 68 cases with primary bronchogenic carcinoma（ lung cancer） in TCM syndrome,TNM staging and type of histopathology, and study the relationship among them. Results ： Four types of TCM syndromes have statistical rela tionsllips with types of histopathology ; different pleural effusion of TCM syndromes have statistical significances, other spiral CT signs such as vacuole signs and spiculation have no statistical significances with TCM syndromes. Conclusion.Primary bronchogenic carcinoma has something to do with its spiral CT signs. The statistical results are important to make sure the standard of clinical syndrome types of lung cancer , and it can also be used as a basis for clinical syndrome differentiation and therapy evaluation.