胃癌患者舌象与舌上皮细胞关系初探——附50例分析

本文对50例胃癌患者,进行了舌象及舌苔涂片细胞学观察,并以27例正常人作对照。观察结果表明:正常人舌上皮细胞主要以角化前细胞为主。胃癌患者舌上皮细胞表现过度角化,角化细胞及超角化细胞明显增高。并且见到较多体积小,染色深暗的小角化细胞。本文并对不同舌象的胃癌患者,舌象细胞学特点及舌象与舌上皮细胞角化关系进行了初步探讨。

英文摘要:

In this paper,tongue picture and the smear of tongue fur in 50 patients with gastric cancer were observed.It was compared with those in 27 healthy persons.Cytology of the tongue picture mainly observes the keratinization of epithelial cells of the tongue and its morphology. The result showed that most of the epithelial cells in the healthy persons were pro-keratosic,while those in the patients with gastric cancer were keratosic and hyperkeratosic.Many keratosic cells with smaller size and dark color could be seen.Different coated tongues were different in cytological picture of the tongue. About thick fur,there were many epithelial cells,leucocytes,bacteria and dirty background;about exfoliative fur,sparse epithelial cells and fairly numerous middle layer epithelial cells were seen. The result also showed the keratinization of epithelial cells of tongue was relevant to the thickness and color of fur,but had nothing to do with the changes of the tongue proper.When the fur thickened,the level of keratinization of the cells increased,which was higher in yellowish fur than that of white fur. The paper explores preliminarily on the cytological characteristics of the tongue picture in gastric cancer patients,and the pattern of cytological changes in different tongue pictures.

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