102例胃癌中医辨证分型与临床病理分型的关系探讨

本文收集经胃次全切除、病理学确诊、有术后随访结果、住院病历完整的胃癌102例,分析术前中医辨证分型与病理学分型、临床病理分期及术后存活率的关系。结果表明:肝胃不和型多为胃癌较早期证型,术后5年存活率为64%;脾肾阳虚、阴虚内热和气血双亏型多为胃癌晚期证型,术后5年存活率分别为5、8、12%;气滞血瘀型则介于上述两组之间,5年存活率为40%。

英文摘要:

102 cases of gastric caroinoma which have been removed by partial gastrectomy and have pathological diagnses and follow-up results are reported.The relationship between their preoper- ational syndromes of TOM and pathological,TNM classification and post-operational survival rate has been studied.There is indication that the type of Ganwei Buhe(肝胃不和 the dispersing function of the liver is disturbed and affects the stomach)manifests the earlier stage of the gastric carcinoma and the majority of cases are in stage 1 or 2 in TNM,the 5-year survival rate with surgery being 46%. The majority of cases of the types of Pishen Yangxu(脾肾阳虚 deficiency of energy in the Spleen and Kidney),Yinxu Neire(阴虚内热 the febrile syndrome of the viscera caused by the insufficient primordial energy)and Qixue Shuartgkui(气血双亏 deficiency of both energy and blood)are in stage 3 or 4 in TNM,the 5-year survival rate with surgery differently being 5,8,12% respectively.The type of Qizhi Xueyu(气滞血瘀 energy stagnancy and blood stasis)is between the abovementioned two groups,with a 5-year survival rate of 40%.

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