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10年间住院妇科恶性肿瘤患者的回顾性分析

  • 摘要: 目的 了解四川大学华西第二医院10年间住院妇科恶性肿瘤患者的发病情况,为妇科恶性肿瘤的流行病学及临床诊治提供一定的依据。方法 收集2003~2012年在我院住院的妇科恶性肿瘤病例,对其临床病理资料进行回顾性分析。结果 10年间妇科恶性肿瘤的发病人数呈上升趋势,构成比前3位为宫颈、宫体、卵巢恶性肿瘤,共占92.13%。妇科恶性肿瘤总的高发年龄段为40~49岁,占34.02%(3132/9207)。其次为50~59岁,占26.64%(2453/9207);但各类型妇科恶性肿瘤的高发年龄段存在一定差异。宫颈恶性肿瘤高发年龄段30~49岁,占72.46%(3 062/4226);宫体恶性肿瘤高发年龄段40~59岁,占69.77%(1768/2534);卵巢恶性肿瘤高发年龄段40~59岁,占58.30%(1004/1722)。患者年龄20~29岁组占本组恶性肿瘤患者的4.43%(408/9207),以宫颈、卵巢恶性肿瘤常见;<20岁组仅占0.98%(90/9207),以卵巢恶性肿瘤最常见;≥60岁组占12.90%(1188/9207),以宫体、卵巢恶性肿瘤常见。大部分妇科恶性肿瘤患者就诊时处于早期阶段。结论 10年间妇科恶性肿瘤的患病人数呈上升趋势,各类型妇科恶性肿瘤的高发年龄段存在一定差异,宫颈、宫体及卵巢恶性肿瘤仍为防治重点。

     

    Abstract: Objective To investigate admission patterns of patients with gynecologic cancers over a ten year period, which will provide a basis for further epidemiological studies. Methods We reviewed medical records of patients with gynecologic cancers who were admitted to the West China Second University Hospital of Sichuan University from 2003 to 2012. Their clinicopathological data were extracted and analysed. Results The number of admitted patients increased over the years, with cervical, uterine and ovary cancers as the top three gynaecological cancers. They accounted for 92.13% of total gynaecological cancers. The peak age of gynaecological cancers was 40-49 years, which accounted for 34.02% (3 132/9 207) of all patients, followed by 50-59 years (26.64%, 2 453/9 207). Most (72.46%, 3 062/4 226) cervical cancer patients aged 30-49 years, compared with 40-59 years for uterine cancers (69.77%, 1 768/2 534) and 40-59 years for ovarian cancers (58.30%, 1 004/1 722). Patients in their 20th account for 4.43%(408/9 207) of total cancers, with in which cervical and ovarian cancers as the most common pathological type. Patients under 20 years of age accounted for only 0.98% (90/9 207) of total cancers, with ovarian cancers as the most common pathological type. Patients over 60 years accounted for 12.90% (1 188/9 207)of total cancers, with uterine and ovarian cancers as the most common pathological type. Most patients were at an early stage of cancers when they were admitted to the hospital. Conclusion Hospitalized patients with gynecologic cancers increase over years. Cervical, uterine and ovary cancers remain to be a focus of treatment. Peak age of those cancers varies.

     

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