宁夏医学杂志2024,Vol.46Issue(1) :34-36.DOI:10.13621/j.1001-5949.2024.01.0034

环氧化酶-2及12-脂氧化酶在宫颈病变进展中的临床意义

Significance of cox-2 and 12-LOX in the progression of cervical lesions

屈海蓉 张心愿 王国平 包生武 张洪炜
宁夏医学杂志2024,Vol.46Issue(1) :34-36.DOI:10.13621/j.1001-5949.2024.01.0034

环氧化酶-2及12-脂氧化酶在宫颈病变进展中的临床意义

Significance of cox-2 and 12-LOX in the progression of cervical lesions

屈海蓉 1张心愿 1王国平 1包生武 1张洪炜1
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作者信息

  • 1. 宁夏银川市妇幼保健院,宁夏银川 750001
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摘要

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.

Abstract

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.

关键词

宫颈疾病/环氧化酶-2/12-脂氧化酶

Key words

Cervical disease/COX-2/12-LOX

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基金项目

银川市科技局科技创新重大重点专项基金(2021SF008)

银川市科技创新专项一般基金项目(2022SF07)

出版年

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
参考文献量15
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