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目的:了解新疆不同民族子宫颈癌的患病特点及发病趋势,并初探其原因。方法:对1990~2001年共4 505例子宫颈癌存档资料逐年进行民族分布、收治比例、患病年龄及组织学类型分析。结果:子宫颈癌收治人数逐年上升,但维吾尔族与汉族的收治比例无明显改变(3.34∶1)。维吾尔族患者平均患病年龄为45.04岁,汉族患者为50.85岁,差异有统计学意义(P<0.001)。维吾尔族年平均患病年龄有上升趋势(P<0.01),与汉族比较差异无统计学意义(P>0.05)。维吾尔族与汉族子宫颈癌组织学构成比差异有统计学意义(P<0.001),各民族内部鳞癌、腺癌构成比差异无统计学意义(P>0.05)。结论:新疆维吾尔族子宫颈癌患者收治比例较其他民族高,患病年龄较其他民族年轻,且鳞癌比例明显高于其它民族。维吾尔族年平均患病年龄有上升趋势,未发现各民族腺癌比例增高及年轻化趋势。
Objective: To understand the prevalence and incidence of cervical cancer in different ethnic groups in Xinjiang, and to explore its causes. Methods: A total of 4 505 cases of cervical cancer data from 1990 to 2001 were analyzed ethnic distribution year by year, treatment rate, age of onset and histological type. Results: The number of people admitted to cervical cancer increased year by year, but the proportion of Uighurs and Han patients did not change significantly (3.34: 1). The average prevalence of Uygur patients was 45.04 years, while that of Han nationality was 50.85 years, the difference was statistically significant (P <0.001). The average age of the Uygur nationality had an upward trend (P <0.01), but no significant difference with the Han nationality (P> 0.05). There was significant difference in histological constitution between Uygur and Han (P <0.001), but no significant difference was found in the proportions of squamous cell carcinoma and adenocarcinoma among various ethnic groups (P> 0.05). Conclusion: The proportion of Uygur patients with cervical cancer in Xinjiang is higher than that of other ethnic groups, their age is younger than other ethnic groups, and the proportion of squamous cell carcinoma is significantly higher than that of other ethnic groups. The average age of the Uygur nationality has an upward trend, and no increase in the proportion of all nationalities with or without adenocarcinoma has been found.