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目的了解湖北省恩施自治州女性癌症患病趋势及特点,为临床和病理诊断提供参考。方法以恩施州中心医院2002~2007年病理检查资料为材料,采用横断面调查及整群、分层抽样等方法进行调查分析,并分别计算女性癌症的构成比和确诊年龄。结果经病理检验确诊的3819例女性癌症患者在2002~2007年的分布是9.14%、11.29%、13.56%、16.00%、22.10%和27.91%。各年度患者平均年龄分别为(58.67±11.42)岁、(55.48±12.67)岁、(53.55±10.94)岁、(50.64±12.52)岁、(47.57±11.57)岁和(45.27±13.49)岁。在病种构成中,宫颈癌、乳腺癌、卵巢癌、子宫内膜癌、绒癌和其他恶性肿瘤分别占33.57%、24.69%、12.20%、6.68%、4.19%和18.67%。结论2002~2007年恩施女性癌症患病率呈逐年增加趋势,患者平均年龄呈逐年下降趋势,恶性肿瘤的重点防治病种是宫颈癌、乳腺癌和卵巢癌。
Objective To understand the prevalence and characteristics of cancer in women in Enshi Autonomous Prefecture, Hubei Province, and provide reference for clinical and pathological diagnosis. Methods The pathological examination data of Enshi Central Hospital from 2002 to 2007 were used as materials. The cross-sectional investigation, cluster analysis and stratified sampling were used to investigate and analyze the constituent ratio and age of diagnosis of female cancer. Results The distribution of 3819 female cancer patients diagnosed by pathology was 9.14%, 11.29%, 13.56%, 16.00%, 22.10% and 27.91% from 2002 to 2007 respectively. The average age of patients in each year was (58.67 ± 11.42) years old, (55.48 ± 12.67) years old, (53.55 ± 10.94) years old, (50.64 ± 12.52) years old, (47.57 ± 11.57) years old and (45.27 ± 13.49) years old. Cervical cancer, breast cancer, ovarian cancer, endometrial cancer, choriocarcinoma and other malignant tumors accounted for 33.57%, 24.69%, 12.20%, 6.68%, 4.19% and 18.67% of the total. Conclusion The prevalence of cancer in Enshi women increased year by year from 2002 to 2007, and the average age of the women declined year by year. The key diseases of malignant tumors were cervical cancer, breast cancer and ovarian cancer.