9553例云南籍肺癌住院患者的疾病构成特征及变化趋势
Characteristics and Trends of Disease Constitution of 9553 Inpatients with Lung Cancer in Yunnan Province
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摘要: 目的 对云南省肿瘤医院2005年1月至2014年12月收治的9 553例云南籍首诊肺癌住院患者的疾病构成特征及变化趋势进行回顾分析,为云南省肺癌的防治及研究工作提供一定的参考.方法 对这9 553例首诊肺癌患者前后5 a的地区分布、年龄和性别构成、疾病特征和动态变化进行统计描述和卡方分析.结果 9 553例患者中,曲靖市(2 910例,占30.5%)和昆明市(2 736例,占28.6%)的肺癌患者远多于其它14个地州,仅曲靖市宣威(县市)和富源(县)2个地区的肺癌患者(1 736例)占曲靖市肺癌患者的59.7%、云南籍肺癌患者的18.2%;宣威地区的女性肺癌患者占比远高于云南籍肺癌患者的女性占比(χ2=67.46,P<0.05),肺癌患者的年龄大多集中于40~64岁(6 257例,占65.5%)之间(P<0.05);后5 a肺癌患者(6 934例)是前5 a肺癌患者(2 619例)的2.65倍;后5 a肺腺癌患者的构成比(38.8%)比前5 a(26.7%)上升了12.1%,患肺鳞状细胞癌的男性(2 231例)是女性(643例)的3.5倍(P<0.05).结论 曲靖市(尤其是宣威、富源地区)仍然是全云南省肺患者数量最多的高发区;宣威地区女性肺癌高发有其独特的致病因素;全省肺癌患数量增加迅猛,且年龄日趋集中于40~64岁之间;腺癌已超鳞状细胞癌成为最为多发的病理类型,90%以上的肺鳞状细胞癌患者为男性.Abstract: Objective To review the characteristics of the 9553 cases of lung cancer patients admitted to Yunnan Province from 2005 to 2014, and to provide some reference for the prevention and treatment of lung cancer in Yunnan province. Methods The distribution, age and sex constitution, disease characteristics and dynamic changes of 9553 patients with lung cancer were analyzed statistically and analyzed by chi-square analysis before and after 5 years. Results Among 9553 patients, the number of lung cancer patients in Qujing City(2910 cases,30.5%) and Kunming City(2736 cases, 28.6%) was much higher than that in other 14 counties,only Qujing Xuanwei(county) and Fuyuan(1736 cases) accounted for 59.7% of lung cancer patients in Qujing and 18.2%of lung cancer patients in Yunnan province. The proportion of female lung cancer patients in Xuanwei area was much higher than that of women with lung cancer in Yunnan province(65.5%). In the last 5 years, the number of lung cancer patients(6934 cases) was 2.65 times of the first 5 years of lung cancer patients(2619 cases). The ratio of lung adenocarcinoma in the last 5 years was increased by 12.1% as compared with the first 5 years(38.8% VS26.7%). The number of lung cancer patients(67.46,P<0.05) and lung cancer patients' age was mostly between40-64 years(6257 cases)(26.8%). The number of male patients with squamous cell carcinoma of the lung(2231 cases) was 3.5 times of female(643 cases)(P<0.05). Conclusions Qujing city(especially Xuanwei and Fuyuan area) is still the area with the highest incidence of lung cancer in Yunnan Province. The high incidence of lung cancer in women in Xuanwei area has its unique risk factors. The number of lung cancer in the province is increasing rapidly and the age is increasingly concentrated in the 40 to 64 years old; adenocarcinoma has become the most advanced squamous cell type, more than 90% of patients with squamous cell carcinoma of the lungs are men.
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Key words:
- Lung cancer /
- Yunnan nationality /
- Hospitalized patients /
- Composition analysis
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