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目的通过调查了解铜陵市近年来妇科恶性肿瘤病例的流行病学特征,探讨妇科恶性肿瘤的发病趋势,为铜陵市妇科恶性肿瘤防治工作提出防治建议。方法选取铜陵市2007—2014年恶性肿瘤病例登记报告管理信息系统中的妇科恶性肿瘤病例,对其发病情况进行流行病学分析。结果铜陵市2007—2014年共报告妇科恶性肿瘤510例,其中死亡病例为152例,病例平均年龄为(52.55±13.36)岁。45~55岁年龄段发病人数最多(167例),病死率随年龄增大而增加,≥75岁年龄组达到最大值(74.29%);病死率有逐年降低的趋势,由2007年的40%降至2014年的3%。市区病例多于县区病例,病死率差异无统计学意义(P>0.05);铜陵市妇科恶性肿瘤以宫颈癌(52.55%)为主;90.59%的妇科恶性肿瘤病例是通过病理学诊断。结论针对铜陵市妇科恶性肿瘤的流行病学特征,需要采取综合性的预防措施,以降低妇科恶性肿瘤带来的危害。
Objective To investigate the epidemiological characteristics of gynecological malignant tumors in Tongling City in recent years and to explore the trend of the incidence of gynecologic malignancies and put forward the prevention and treatment recommendations for the prevention and treatment of gynecologic malignancies in Tongling City. Methods The cases of gynecological malignant tumors in the management information system of malignant tumor cases registration from 2007 to 2014 in Tongling were selected and the epidemiological analysis of their incidence was made. Results A total of 510 gynecologic malignancies were reported in Tongling from 2007 to 2014, of which 152 were deaths and the average age was (52.55 ± 13.36) years. The incidence was highest in 45-55 years old (167 cases). The case fatality rate increased with age, reaching the maximum value (74.29%) in the age group of 75 years old. The case fatality rate decreased year by year from 40% Down to 3% in 2014. The cases of urban area were more than those of the county, and there was no significant difference in case fatality rate (P> 0.05). The incidence of cervical cancer was 52.55% in Tongling city and 90.59% of gynecological malignancies were diagnosed by pathology. Conclusion According to the epidemiological characteristics of gynecologic malignancies in Tongling City, we need to take comprehensive preventive measures to reduce the harm caused by gynecologic malignancies.