广州市某院2003-2012年甲状腺癌手术患者住院情况分析

Survey of the thyroid cancer inpatients undergoing thyroidectomy from a hospital in Guangzhou from 2003 to 2012

目的了解某院甲状腺癌手术患者的住院情况，为做好院内管理和临床防治提供依据。方法采用回顾性分析及病案首页检索的方法，对2003—2012年广州某部属三级医院收治的1490例甲状腺癌手术患者性别、年龄、病理类型、手术方式、治疗结果、住院天数、费用及术后并发症等数据资料进行调查分析。结果甲状腺癌可发生于任何年龄，40～59岁为发病高峰，女性较男性多发。病理类型以乳头状腺癌最为多见（84．36％），乳头状和滤泡状腺癌治愈率最高（95．12％）。手术方式以单侧甲状腺全切除伴另侧部分（次全）切除为主。十年来，手术病例的治愈率为90．60％，术前住院日为（4．32±3．24）d，术后（4．99±2．84）d，平均住院日为（9．37±5．31）d；平均住院费用为13708．96±7237．52）元，药费占总费用比例平均为（23．60±8．34）％，术后并发症的发生率为1．01％。结论中老年女性应注意预防甲状腺癌的发生，某院甲状腺癌治疗效果满意、术后并发症少、药费比例合理。

Objective To investigate the hospitalizations of thyroid cancer patients undergoing thyroidectomy, and to provide a basis for management, clinical prevention and treatment. Methods An investigation was conducted by means of the retrospective survey and the medical records retrieval system. The data of patients suffered from thyroid cancer in a hospital in Guangzhou from 2003 to 2012 was made out, including gender, age, pathological type, treatment, treatment results, complications, hospitalization days, cost and so on. Results Thyroid cancer could occur at any age, the peak age of onset was from 40 to 59 years old. More female patients suffered from tumor than male. The main histologic types were papillary carcinoma（84.36%）, and the cure rate of papillary and follicular adenocarcinoma was the highest（95.12%）. The main approach of thyroid surgery was unilateral total thyroidectomy with a subtotal thyroidectomy of the other side. The cure rate was 90.60% during the 10 years. Periods before and after operation were respectively （4.32 ± 3.24） days and （4.99 ± 2.84） days. The average hospital stay was （9.37 ± 5.31） days, and average hospitalization cost was RMB （13 708.96 ± 7 237.52）yuan, proportion of drug fees up to （23.60 ± 8.34）%. Postoperative complication rate was 1.01%. Conclusions The middle- and aged women should pay attention to causal prophylaxis of thyroid cancer. The therapeutic effect is satisfactory with less complications and reasonable proportion of drug fees in our hospital.