宫颈癌、子宫肌瘤与微量元素间的关系研究

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采用原子吸收分光光度法测定了40例宫颈癌,30例子宫肌瘤组织和血清中Cu、Zn、Fe、Mn、Ca和Sr的含量。结果表明,宫颈癌组织和血清中Cu、Fe含量和Cu/Zn比值明显高于非病变组织和健康人(P<0.001),而Zn、Ca、Mn和Sr含量明显低于非病变组织,Zn、Ca含量明显低于健康人血清(P<0.02~P<0.001)。子宫肌瘤组织中Fe含量和血清中Cu/Zn比值高于非病变组织和健康人血清(P<0.001),而组织中Zn和血清中Zn、Fe、Ca含量明显低于非病变组织和健康人血清(P<0.001)。宫颈癌患者血清中Cu含量、Cu/Zn比值和癌组织中Cu/Zn明显高于肌瘤患者血清及肌瘤组织(P<0.01~P<0.001)。经logistic多元逐步回归分析,血清中Cu含量较高者,发生宫颈癌的危险度较高,患者血清中Zn和组织Sr含量较高者,发生宫颈癌的危险度较低,Cu可能是诱发宫颈癌的危险因素。Zn、Sr可能是宫颈癌的保护因素。此外,血清中Cu/Zn比值测定对宫颈癌诊断阳性率为72%,可作为宫颈癌诊断、鉴别指标之一。 The contents of Cu, Zn, Fe, Mn, Ca and Sr in 40 cases of cervical cancer, 30 cases of uterine fibroid tissue and serum were determined by atomic absorption spectrophotometry. The results showed that the contents of Cu, Fe and Cu / Zn in cervical cancer tissues and serum were significantly higher than those in non-diseased and healthy subjects (P <0.001), while the contents of Zn, Ca, Mn and Sr were significantly lower than those in non-diseased tissues , Zn and Ca contents were significantly lower than those in healthy volunteers (P <0.02 ~ P <0.001). The content of Fe and the ratio of Cu / Zn in serum of uterine fibroids were higher than that of non-diseased and healthy human serum (P <0.001), while the content of Zn, Fe and Ca in the tissues was significantly lower than that in non-diseased tissues And healthy human serum (P <0.001). Cu content, Cu / Zn ratio and Cu / Zn in cancer tissue of patients with cervical cancer were significantly higher than those in patients with leiomyoma (P <0.01 ~ P <0.001). By logistic multivariate stepwise regression analysis, the higher the content of Cu in serum, the higher the risk of developing cervical cancer, the higher the content of Zn and tissue Sr in serum of patients, the lower the risk of developing cervical cancer, and Cu may be the cause of cervical Cancer risk factors. Zn, Sr may be the protective factor of cervical cancer. In addition, the serum Cu / Zn ratio of the positive rate of diagnosis of cervical cancer was 72%, can be used as cervical cancer diagnosis, one of the indicators.
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