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目的对比分析新疆地区维汉不同民族肾癌患者的临床特征。方法回顾性分析2000年1月至2012年12月新疆医科大学第一附属医院和新疆医科大学第二附属医院诊治的384例新发肾癌患者的临床资料,对其中维汉不同民族患者的发病情况、临床特点进行分析。结果汉族肾癌患者以右侧为主(52.4%),而维吾尔族肾癌患者以左侧为主(56.7%)。汉族肾癌患者中无症状者所占比例明显地高于维吾尔族肾癌患者(41.7%vs 20.0%)(P<0.05)。维汉民族肾癌患者病理类型及分布差异无统计学意义(P>0.05)。汉族肾癌患者肿瘤T1a比例显著地高于维吾尔族肾癌患者(50.1%vs 16.7%),T1b肿瘤汉族比例显著地低于维吾尔族肾癌患者(19.4%vs 70.8%)(均P<0.05)。两组主要的病理类型均为透明细胞癌。结论与汉族肾癌患者相比,维吾尔族肾癌患者有症状者明显多于无症状者,肿瘤的病理分期也高于汉族,提示可能与维吾尔族人群的健康体检意识不强有关。
Objective To compare and analyze the clinical features of different nationalities in Xinjiang Uygur and Han nationality patients with renal cell carcinoma. Methods The clinical data of 384 patients with newly diagnosed renal cell carcinoma diagnosed and treated in the First Affiliated Hospital of Xinjiang Medical University and the Second Affiliated Hospital of Xinjiang Medical University from January 2000 to December 2012 were retrospectively analyzed. Situation, clinical features for analysis. Results The majority of patients with renal cell carcinoma of the Han were right-sided (52.4%), while the majority of Uygur patients were left-sided (56.7%). The proportion of asymptomatic Han patients with renal cell carcinoma was significantly higher than that of Uygur kidney cancer patients (41.7% vs 20.0%, P <0.05). There was no significant difference in the pathological type and distribution of renal cell carcinoma among Han and Uygur nationality patients (P> 0.05). The proportion of T1a in Han patients with renal cell carcinoma was significantly higher than that in Uighur patients (50.1% vs 16.7%). The proportion of Han patients in T1b tumors was significantly lower than that in Uygur patients (19.4% vs 70.8%, P <0.05) . The two main pathological types are clear cell carcinoma. Conclusion Compared with Han patients with renal cell carcinoma, Uygur kidney cancer patients have more symptoms than asymptomatic patients, and the pathological stage of the tumors is also higher than that of Han people, which may be related to the weak sense of health examination in Uighur people.