首页|流式细胞术在宫颈癌及其癌前病变中的临床应用

流式细胞术在宫颈癌及其癌前病变中的临床应用

Clinical Application of Flow-cytometry in Uterine Cervix Carcinoma and Precancerous Lesion of Uterine Cervix

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目的:探讨流式细胞术在宫颈癌及宫颈上皮瘤变的临床应用.方法:采用流式细胞术对61例宫颈癌(33例CINⅡ~Ⅲ、28例CINⅠ和10例正常宫颈组织进行DNA含量分析,并以DNA指数(DI)、异倍体率、增殖指数(PI)作为DNA含量分析参数.结果:①DI值、PI值和异倍体率随着宫颈病变程度的加重呈增高趋势.②异倍体宫颈癌PI值与其二倍体PI值无显著差异;异倍体CINⅡ~ⅢPI值高于其二倍体,具有显著性差异,异倍体CINⅠPI值高于其二倍体,具有极显著性差异;二倍体CINⅡ~ⅢPI值高于正常宫颈组织,具有极显著差异,二倍体CINⅠPI值略高于正常宫颈组织,无显著性差异.③宫颈癌DI值、PI值和异倍体率均随着病理组织分级、临床分期升高而增高,有统计学意义.结论:流式细胞术在辅助宫颈癌前病变确诊、生物学行为预测以及宫颈癌预后判断方面提供重要临床价值.
Objective To explore the clinical application of Flow-cytometry in uterine cervix carcinoma(UCC) and cervical in-traepithelial neoplasia(CIN). Methods Flow-cytometry was used to analyze the DNA index(DI), proliferation index(PI) and percent of heteroploid in 61 cases UCC,33 cases CINⅡ~Ⅲ, 28 cases GIN Ⅰ and 10 cases normal cervix. Results 1. DI, PI and percentage of aneuploid of CIN Ⅰ ,CINⅡ~Ⅲ and UCC increased gradually. 2. There is no significant deviation between PI of aneuploid UCC and PI of diploid UCC. PI of aneuploid CINⅡ~Ⅲ showed obviously higher than PI of diploid CINⅡ~Ⅲ, PI of aneuploid CIN Ⅰ expressed significant higher than PI of diploid CIN Ⅰ. PI of diploid CINⅡ~Ⅲ proved significant higher than PI of normal cervix. There is no significant difference between PI of diploid CIN Ⅰ and PI of normal cervix. 3. There are specially notable difference of DI, PI and percentage of aneuploid in different histological grades and clinical stages of UCC. Conclusion In aiding diagnosis and forecasting biological behaviour of precancerous lesion of uterine cervix and judging prognosis of cervical malignancies, Flow-cytometry provides important clinical values.

cervix neoplasmscervical intraepithelial neoplasiaflow cytometrypapillomavirushuman

辛海、袁世强、杨幼易

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江苏省无锡市妇幼保健院肿瘤科,214002

宫颈肿瘤 宫颈上皮内瘤变 流式细胞术 乳头瘤病毒

2013

放射免疫学杂志
同济大学

放射免疫学杂志

CSTPCD
影响因子:0.508
ISSN:1008-9810
年,卷(期):2013.26(6)
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