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瞿漱芬,伍海南.420例肺癌中医辨证分型与临床病理分型的关系[J].中国中西医结合杂志,1984,(1):21-22,67,2
420例肺癌中医辨证分型与临床病理分型的关系
The Relationship Between Typing of Bronchogenic Cacinoma According to TCM Theories and Clinical Pathological Clisification
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DOI:
中文关键词:  中医辨证分型  肺癌病人  肺叶切除  存活率  脾虚痰湿型  病理学方法  气阴两虚型  临床病理分型  偶然发现  气虚型
英文关键词:
基金项目:
作者单位
瞿漱芬 湖南医学院第二附属医院病理科 
伍海南 湖南医学院第二附属医院病理科 
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中文摘要:
      本文用临床病理学方法,对420例肺癌中医辨证分型与西医病理分型及肺叶切除疗效、预后等进行比较分析,结果表明有一定规律性。并发现420例肺癌中有14例无任何症状,中医无从辨证,均为体检偶然发现,经病理学检查确诊。
英文摘要:
      420 cases of bronchogenic carcinoma and their syndromes have studie in the light of TCM theories,using clinical pathologic method.According to different syrromes these cases of bronchogenic carcinoma are divided into types:Qi Xu(QX 气虚,deficiencyof energy),Qi Zhi Xue Yu(QZXY 气滞血瘀,energy stagnancy and blood stasis),Yin Xu Neie(YXNR 阴虚内热, deficiency of Yin with endogenous heat),Qi Yin Liang Xu(QYLX 气阴虚,deficiency of both cnergy and Yin),and Pi Xu Tan Shi(PXTS 脾虚痰湿,deficiency in thepleen with phlegm and damp)which are compared with roentgenologic and pathologic classificaons,with reference to pulmonectomic rate,stage of cancerous TNM and prognosis.There is indicion that type of QX is peripheral pulmonary carcinoma in the earlier stage and great majority of theases are in stage 1 or 2 in TNM and have a higher pulmonectomic rate and better prognosis.Types QYLX and PXTS bear mostly cancerous hydrothorax,over 80% of the cases are in stage 3o4 in TNM with lower pulmonectomic rate and worst prognosis being in the advanced stage of bronogenic carcinoma.Since types of QZXY and YXNR are in the main in stage 2 or 3 in TNM.the pulmonectomie rate and prognosis are between those of QX type and QYLX,PXTS types. The majority cases of squamous cell carcinoma belong to the type of YR in TCM.
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