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化疗前后宫颈癌中VEGF表达和微血管密度变化的研究

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摘要 目的观察和分析宫颈癌患者化疗前后癌组织中的微血管形成和VEGF表达的变化,并分析两者和各临床病理因素即治疗效果之间的关系。方法首先采用免疫组织化学S-P法进行检验和确诊,然后运采单一药物拓扑替康(1.25m g/m2)进行化疗,时间为15 d,在患者经过化疗以后,继续及进行肿瘤组织的病理检验。结果在化疗前M VD与VEGF的表达和病理类型有关,并且腺癌明显高于鳞癌,两组对比具有显著地差异(P>0.01)。MVD在化疗前后差异显著,具有统计学意义(P>0.01);VEGF在化疗前后的阳性患者分别是57(52.78%)和22(20.37%),表明化疗以后的CD34和VEGF的表达均要比化疗以前低。此外,化疗效果中显效和有效的患者在化疗以前MVD与VEGF的表达都高于无效组患者,其差异亦具有统计学意义(P>0.05)。结论 VEGF能够促进宫颈癌新生血管的形成。药物拓扑替康化疗能够降低肿瘤细胞中VEGF的阳性表达率,并对抑制肿瘤血管的生长发挥较大的作用。
作者 李玉华
机构地区 吉林省人民医院
出处 《中国卫生产业》 2013年第34期95-96,共2页 China Health Industry
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