广州医药 ›› 2016, Vol. 47 ›› Issue (6): 6-9.DOI: 10.3969/j.issn.1000-8535.2016.06.002

• 论著 • 上一篇    下一篇

Bcl-2、COX-2在宫颈癌新辅助化疗前后的表达及临床意义的研究

林悦欢1, 胡璐萍2, 何慧仪2, 伍华玲2   

  1. 1 中山大学附属江门医院妇产科(江门 529100)
    2 广州医科大学附属广州市第一人民医院妇产科(广州 510180)
  • 收稿日期:2016-09-21 出版日期:2016-11-20 发布日期:2021-12-02
  • 通讯作者: 何慧仪, E-mail:winniehhy2010@qq.com
  • 基金资助:
    广东省科技计划项目(2012B031800328)

A study of the expression and clinical significance of the Bcl-2 and COX-2 in cervical cancer before and after neoadjuvant chemotherapy

Lin Yuehuan, Hu Luping, He Huiyi, Wu Hualing   

  1. Lin Yuehuan. Department of Obstetrics and Gynecology,Jiangmen Hospital Affiliated to Sun Yat-sen University,Jiangmen 529100, China
    Hu Luping,He Huiyi,Wu Hualing.Department of Obstetrics and Gynecology, First People's Hospital of Guangzhou Affiliated to Guangzhou Medical University,Guangzhou 510180, China
  • Received:2016-09-21 Online:2016-11-20 Published:2021-12-02

摘要: 目的 探讨Bcl-2、COX-2在宫颈癌新辅助化疗前后表达的意义, 以及新辅助化疗(NACT)对宫颈癌的近期临床疗效。方法 对32例宫颈癌患者,采集NACT治疗前后的宫颈癌组织标本,采用免疫组织化学SP法检测组织中的Bcl-2及COX-2表达。结果 ①经NACT后,治疗总有效率(CR+PR)为75%,无效率(PD+SD)为25%。②宫颈癌组织中Bcl-2、COX-2的表达均出现明显下降,差异均有统计学意义(P<0.05);临床有效组中Bcl-2、COX-2的表达在NACT后出现显著下降(P<0.05),无效组中Bcl-2、COX-2的表达在NACT前后无明显统计学意义(P>0.05)。结论 Bcl-2、COX-2的表达情况对评价宫颈癌患者新辅助化疗效具有肯定的临床意义,宫颈癌行NACT后近期疗效良好。

关键词: 宫颈癌, Bcl-2, COX-2, 新辅助化疗

Abstract: Objective To investigate the expression of Bcl-2 and COX-2 in cervical cancer before and after neoadjuvant chemotherapy; To evaluate the efficacy of neoadjuvant chemotherapy(NACT) for cervical cancer in the recent clinical effects. Methods To select 32 cases of patients with cervical cancer, collect the cervical cancer tissues before and after NACT, immunohistochemical SP method was used to detect the expression of Bcl-2and COX-2 in the tissues. Results After neoadjuvant chemotherapy, total effective rate (CR+PR) was 75%(24/32), inefficient rate(PD+SD) was 25%(8/32). The expression of Bcl-2 and COX-2 of cervical cancer patients who had neoadjuvant chemotherapy (NACT), before and after, had great differences. The difference had statistical significance (P<0.05); The expression of Bcl-2 and COX-2 were significantly lower after neoadjuvant chemotherapy in clinical effective group(P<0.05), there is no statistical significance in clinical non-effective group(P>0.05). Conclusion The expression of Bcl-2 and COX-2 of cervical cancer patients has certain clinical significance in evaluating the effect of neoadjuvant chemotherapy in cervical cancer patients. Recent curative effect after NACT in the cervical cancer patients is good.

Key words: Cervical cancer, B-cell lymphoma/leukemia-2(Bcl-2), Cyclooxygenase-2(COX-2), Neoadjuvant chemotherapy(NACT)