首页|环氧化酶-2及12-脂氧化酶在宫颈病变进展中的临床意义

环氧化酶-2及12-脂氧化酶在宫颈病变进展中的临床意义

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目的 研究宫颈病变组织中环氧化酶-2(COX-2)以及12-脂氧化酶(12-LOX)的表达在宫颈病变进展中的意义.方法 选择电子阴道镜检查宫颈活检患者200例作为研究对象,进行回顾性分析,根据病理诊断结果将其分为慢性宫颈炎组43例、宫颈低级别病变组(LSIL)57例、宫颈高级别病变组(HSIL)54例、宫颈癌组46例,使用免疫组化染色法检测COX-2、12-LOX在各级别宫颈病变组织中的表达情况及其在临床中的意义.结果 经分析后,宫颈癌组及宫颈高级别病变组宫颈组织COX-2、12-LOX表达阳性率高于宫颈低级别病变组及慢性宫颈炎组(P<0.05),阳性率由低到高分别为慢性宫颈炎组、LSIL组、HSIL组、宫颈癌组,根据疾病的进展其阳性率呈现出逐渐上升的趋势;宫颈癌组宫颈组织COX-2、12-LOX表达阳性率高于宫颈高级别病变组(P<0.05).结论 宫颈组织COX-2、12-LOX表达的阳性率与宫颈病变的进展有关,表明检测宫颈组织COX-2、12-LOX对宫颈恶性病变有一定的诊断和预测意义.
Significance of cox-2 and 12-LOX in the progression of cervical lesions
Objective To study the expression of cyclooxygenase-2(COX-2)and 12-lipid oxidase(12-LOX)in the progression of cervical lesions.Methods A retrospective analysis was performed on 200 patients with cervical biopsy by electronic col-poscopy.According to the pathological diagnosis results,they were divided into chronic cervicitis group(43 cases),cervical low-grade lesion group(LSIL),57 cases,cervical high-grade lesion group(HSIL),57 casesand cervical cancer tissue(46 cases).Immuno-histochemical staining was used to detect the expression of COX-2 and 12-LOX in cervical lesions and their clinical significance.Results After analysis,the percentage of patients with COX-2 and 12-LOX positive expression in cervical tissues in cervical cancer group and high-grade cervical disease group was higher than that in low-grade cervical disease group and chronic cervicitis group(P<0.05).The positive rates were chronic cervicitis,LSIL,HSIL and cervical cancer respectively from low to high,and showed a gradually increasing trend according to the progression of the disease.The percentage of patients with COX-2 and 12-LOX positive ex-pression in cervical cancer group was higher than that in HSIL group(P<0.05).ConclusionThe positive rate of COX-2 and 12-LOX expression in cervical tissues is related to the progression of cervical lesions,indicating that detection of COX-2 and 12-LOX in cervi-cal tissues has certain significance in diagnosis and prediction of cervical malignant lesions.

Cervical diseaseCOX-212-LOX

屈海蓉、张心愿、王国平、包生武、张洪炜

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宁夏银川市妇幼保健院,宁夏银川 750001

宫颈疾病 环氧化酶-2 12-脂氧化酶

银川市科技局科技创新重大重点专项基金银川市科技创新专项一般基金项目

2021SF0082022SF07

2024

宁夏医学杂志
中华医学会宁夏分会

宁夏医学杂志

影响因子:0.706
ISSN:1001-5949
年,卷(期):2024.46(1)
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