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目的了解邯郸地区老年恶性肿瘤的流行趋势。方法收集2007-03-2012-03在河北工程大学附属医院、邯郸市中心医院、邯郸市第一医院经病理确诊的老年恶性肿瘤患者的基本信息,用SPASS软件对其构成比进行统计学分析。结果共有老年恶性肿瘤患者5 788例,其中男性3 156例,占54.53%,女性2 632例,占45.47%,男女比例1.19∶1;年龄60~94岁,中位年龄72岁。其中60~74岁老年患者4516例,占78.02%;75~89岁1 244例,占21.49%;90~94岁28例,占0.48%。恶性肿瘤构成比位于前8位的是食管癌、胃癌、乳腺癌、肺癌、结肠癌、子宫癌、直肠癌和膀胱癌,共4 884例,占全部患者的84.38%,构成比依次为24.88%、22.39%、13.13%、8.64%、4.63%、4.28%、4.08%和2.35%。男性恶性肿瘤的构成比位于前5位的是胃癌、食管癌、肺癌、结肠癌和膀胱癌,共2 560例,占全部患者的44.23%,构成比依次为17.62%、15.69%、7.05%、2.07%、1.80%;女性恶性肿瘤的构成比位于前5位的是乳腺癌、食管癌、胃癌、子宫癌和直肠癌,共1 968例,占全部患者的34.0%,构成比依次为13.13%、9.19%、4.77%、4.28%、2.63%。结论消化道癌、乳腺癌、子宫癌、肺癌和膀胱癌是邯郸地区老年恶性肿瘤防治的重点。
Objective To understand the prevalence of elderly malignant tumors in Handan area. Methods The basic information of pathologically diagnosed elderly patients with malignant tumor who were pathologically diagnosed at the Affiliated Hospital of Hebei University of Engineering, Handan Central Hospital and Handan No.1 Hospital from 2007-03-2012-03 was collected and their constituent ratios were statistically analyzed by SPASS software. Results A total of 5 788 elderly patients with malignant tumors were included, of whom 3 156 were male, accounting for 54.53%, and 2 632 were female, accounting for 45.47%. The male-female ratio was 1.19:1. The median age was 72 years. Among them, 4516 were elderly patients aged 60-74 years, accounting for 78.02%; 1 244 cases were 75-89 years old, accounting for 21.49%; 28 cases were 90-94 years old, accounting for 0.48%. Among the top 8 malignant tumors, 4 884 cases were esophageal cancer, gastric cancer, breast cancer, lung cancer, colon cancer, uterus cancer, rectal cancer and bladder cancer, accounting for 84.38% of the total, with the proportions of 24.88% , 22.39%, 13.13%, 8.64%, 4.63%, 4.28%, 4.08% and 2.35% respectively. Among the top five malignant tumors, there were 2 560 cases of gastric cancer, esophageal cancer, lung cancer, colon cancer and bladder cancer, accounting for 44.23% of the total, with constituent ratios of 17.62%, 15.69%, 7.05% 2.07% and 1.80% respectively. The proportion of female malignant tumors in the top 5 cases was 1 968 cases of breast cancer, esophageal cancer, stomach cancer, uterus cancer and rectal cancer, accounting for 34.0% of the total. The constituent ratios were 13.13% , 9.19%, 4.77%, 4.28%, 2.63%. Conclusions Digestive tract cancer, breast cancer, uterine cancer, lung cancer and bladder cancer are the focus of prevention and treatment of elderly malignant tumors in Handan area.