Clinical Study Of Sublingual Collateral Signs In Colorectal Cancer

Objective:First of all,through the collection and organization of literature on sublingual colposcopy diagnosis,we reviewed the origins of sublingual collaterals diagnostic methods,traditional theories,modern methods,and literature on the use of diseases in various subjects,and performed an integrated approach to sublingual colposcopy the discussion.Then,through the collection of clinical cases,statistical analysis methods were used to observe the characteristics of sublingual collaterals in patients with colorectal cancer:length,thickness,color,shape,and ecchymosis;and the characteristics of sublingual collaterals and large intestine of colorectal cancer were explored.The relationship between cancer TCM syndromes,clinical stages,and tumor markers provides more case support for the study of sublingual collaterals in malignant tumors,providing more basis for the study of TCM tongue images in colorectal cancer.Methods:By collecting the clinical document the data of colorectal cancer patients from September 2016 to October 2017 in Jiangsu Provincial Hospital of Integrated Traditional Chinese and Western Medicine,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine and Department of Oncology of Jiangsu Cancer Hospital,A total of 100 cases that meet the requirements were screened and summarized.The Excel spreadsheet was designed and the database was established.The gender,age,onset season,symptoms,tongue diagnosis(tongue,tongue coating,and tongue color)and sublingual collaterals of the selected patients were included.Length,thickness,color,shape,petechiae),pulse diagnosis,disease course,clinical stage,pathological type,addition and subtraction of medication and other data into the database after the standardization,the use of statistical methods for colorectal cancer patients with sublingual collaterals And TCM syndrome type,clinical stage,laboratory inspection indicators for analysis and summary.Results:Among the 100 patients with colorectal cancer,55 were males and 45 were females.The age ranged from 35 to 85 years and the age was 62.3±10.2 years.The disease duration is 40%between one-twelve month.Among 100 patients with colorectal cancer,26 were clinical TNM stage?(26%);10 were stage ?(10%);64 were stage ?(64%);stage ? patients with colorectal cancer were the most;colorectal cancer syndrome distribution was spleen deficiency Qi stagnation card(29%),damp heat accumulation card in 22 cases(21%),21 cases of blood and blood deficiency(21%),14 cases of internal resistance syndrome(14%),11 cases of liver and kidney yin deficiency syndrome(11%),spleen and kidney deficiency in 3 cases(3%).Spleen deficiency syndrome accounted for the highest proportion.35 cases of liver metastases,13 cases of lung metastases,20 cases of multiple metastases.The length of sublingual collaterals in patients with different types of colorectal cancer is significantly different.The length of sublingual collaterals in patients with thennal accumulation syndrome and internal resistance syndrome was significantly longer than that of deficiency syndrome and liver-kidney yin deficiency syndrome.The length of hypoglossal collaterals was mainly moderate and severe.Positive evidence(hyperpyroid accumulative syndrome,scorpion venom internal resistance syndrome)sublingual collaterals is significantly thicker than deficiency syndrome(spleen-kidney deficiency syndrome,liver-kidney yin deficiency syndrome)sublingual collaterals;colorectal cancer demonstration(damp-heat accumulation syndrome,deafness.There was a significant difference in the thickness of sublingual collaterals between the internal resistance syndrome and non-evidence(deficiency of qi deficiency,deficiency of spleen,qi stagnation)(P<0.05,P<0.01).Statistical analysis by Nemenyi test showed that collateral color(P=0.047,P<0.05)was statistically significant;In terms of spotting and spotting,according to Nemenyi's test,there were differences between the two spots(Nemenyi test):qi and blood deficiency syndrome and scorpion venom internal resistance syndrome,qi and blood deficiency syndrome and spleen deficiency qi stagnation syndrome.There were no correlations between sublingual collaterals and elevated tumor markers in patients with colorectal cancer.greater than 0.05_There was no statistically significant correlation between the sublingual collaterals and the number of elevated tumor markers.Conclusions:This study analyzed and described the characteristics of sublingual collaterals in patients with colorectal cancer.The sublingual collaterals of colorectal cancer have their own characteristics.Between sublingual collaterals and TCM syndromes of colorectal cancer,Clinical stage,laboratory inspection indicators is no correlation.