目的分析2008~2017年广西贺州市某综合医院恶性肿瘤住院患者疾病构成特征及变化趋势,为区域肿瘤防治工作提供参考依据。方法回顾性分析某医院近10年首次诊断恶性肿瘤患者的资料,按ICD-10编码对所有病例进行分类,分析不同年份、性别、年龄间恶性肿瘤的疾病构成及顺位变化。结果前10位恶性肿瘤依次为支气管和肺恶性肿瘤、肝和肝内胆管恶性肿瘤、乳房恶性肿瘤、宫颈恶性肿瘤、鼻咽恶性肿瘤、胃恶性肿瘤、结肠恶性肿瘤、直肠恶性肿瘤、食管恶性肿瘤、皮肤其他恶性肿瘤,占10年来恶性肿瘤总例数的68.00%。男性患者明显多于女性,其中男性恶性肿瘤首位是支气管和肺恶性肿瘤,占男性恶性肿瘤的23.14%;女性恶性肿瘤首位是宫颈,占女性恶性肿瘤的13.75%。肿瘤发病年龄相对集中于40岁以上的中老年人群。结论掌握肿瘤分布特征,根据肿瘤发病的年龄、性别差异,调整防治措施,因地制宜地做好癌症的三级预防工作。
ObjectiveTo analyze the characteristics and trend of disease constitution in the inpatients with malignant tumor from a general hospital of Hezhou during 2008-2017, thereby to provide a reference for regional prevention and treatment of cancer. MethodsThe data of the patients initially diagnosed as malignant tumors from a hospital in recent 10 years were retrospectively analyzed. All the cases were classified according to ICD-10 coding system. The composition and sequence changes of malignant tumors in different years, and in the cases with different gender or age were analyzed. ResultsThe top 10 malignant tumors were bronchial and lung cancers, liver and intrahepatic bile duct cancers, breast cancer, cervical cancer, nasopharyngeal cancer, gastric cancer, colon cancer, rectal cancer, esophageal cancer and skin malignant tumor, accounting for 68.00% of all the cases in recent 10 years. The amount of male patients was significantly more than that of the female patients.Bronchial and lung cancers were the most common malignant tumors in the male patients, accounting for 23.14%. Cervical cancer was the most common malignant tumors in the female patients, accounting for 13.75%. The main onset age of the tumor was over 40 years. ConclusionThe characteristics of tumor distribution should be mastered. The prevention and treatment measures should be adjusted according to the differences in onset age of malignant tumor and gender. Three-tier prevention should be performed according to local conditions.