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目的分析某省肿瘤医院甲状腺癌住院病例的特征及变化趋势。方法统计某省肿瘤医院2001年-2010年间甲状腺癌住院病例资料,对其性别、年龄、病理类型及伴发疾病情况、城乡分布、血型分布等特征进行回顾性研究。结果甲状腺癌新发病例1721例(男374例,女1347例),男女比例为1:3.60,住院患者呈逐年递增趋势(P<0.05);住院患者从25岁~29岁年龄开始快速增长,主要集中在40岁~49岁;甲状腺乳头状癌(占65.48%)患者住院增长速度最快(P<0.05),且21.92%伴发结节性甲状腺肿,3.46%伴发桥本甲状腺炎;而59.13%的甲状腺微小癌患者伴发结节性甲状腺肿,8.70%伴发桥本甲状腺炎。城市多于农村,比例为1.23:1;血型以0型居最多,占30.27%,其次为B型、A型,AB型最少。结论甲状腺癌住院患者呈逐年递增趋势,并存在性别、年龄差异,城市多于农村,血型分布以O型最多,主要病理学类型为甲状腺乳头状癌,多伴发结节性甲状腺肿。
Objective To analyze the characteristics and trends of thyroid cancer inpatients in a provincial cancer hospital. Methods The data of inpatients with thyroid cancer from 2001 to 2010 in a provincial cancer hospital were retrospectively analyzed on the characteristics of gender, age, pathological type and concomitant diseases, distribution of urban and rural areas and blood type distribution. Results There were 1721 newly diagnosed cases of thyroid cancer (374 males and 1347 females), the ratio of male to female was 1: 3.60, and the number of inpatients showed an increasing trend year by year (P <0.05). The inpatients showed rapid growth from 25 to 29 years of age, Mainly in the age of 40 to 49 years; thyroid papillary carcinoma (65.48%) patients hospitalized the fastest growth (P <0.05), and 21.92% with nodular goiter, 3.46% with Hashimoto’s thyroiditis; While 59.13% of thyroid microcarcinoma patients with nodular goiter, 8.70% with Hashimoto’s thyroiditis. More cities than in rural areas, a ratio of 1.23: 1; blood type 0 to occupy the most, accounting for 30.27%, followed by B type, A type, AB type at least. Conclusions The inpatients with thyroid cancer showed a trend of increasing year by year with the difference of gender and age. There were more cities in the city than in the rural areas. The distribution of blood type was O type, the main pathological type was papillary thyroid carcinoma and multiple nodular goiter.