2006～2015年青岛市某三甲综合医院腹部常见恶性肿瘤住院患者疾病特征及死亡病例分析

Clinical Characteristics and Fatality Rate of Abdominal Malignancies in a Grade-A Tertiary General Hospital in Qingdao,2006～2015

[目的]分析青岛市某三甲综合医院2006-2015年腹部恶性肿瘤住院患者的患病特征、病死率及主要死因。[方法]回顾性分析2006-2015年间所有住院治疗的腹部恶性肿瘤病例及肿瘤住院死亡病例,分析腹部恶性肿瘤患病疾病情况,计算病死率,分析死亡原因。[结果]13 316例腹部恶性肿瘤住院患者中,男性7644例（57.40%）,女性5672例（42.60%）,男女性别比1.35∶1;患者平均年龄57.13±12.84岁。2015年腹部恶性肿瘤住院患者人数是2006年的4.52倍,腹部恶性肿瘤住院人数平均年增长率为35.25%。腹部恶性肿瘤的疾病构成依次为：结直肠癌（36.30%）、肝癌（28.00%）、胃癌（24.20%）、胰腺癌（7.40%）、胆囊癌（4.10%）。腹部恶性肿瘤住院患者病死率为3.84%,病死率随时间呈明显下降趋势（趋势χ2=72.451,P〈0.001）。死亡病例的性别比为1.37∶1;60岁以上老年人群占全部死亡构成的65.82%。男性、女性腹部恶性肿瘤死亡病例均集中在60岁以上老年人群,构成比占全部男性、女性死亡总例数的65.59%和60.65%。死因顺位依次为：肝癌、结直肠癌、胃癌、胰腺癌和胆囊癌。[结论 ]腹部恶性肿瘤住院患者逐年增加,病死率逐年下降,死亡病例集中在老年人群,应加强对重点癌种的防治工作,有针对性的制定肿瘤防治策略。

[Purpose ] To analyze the clinical characteristics and case fatality rate of abdominal ma- lignancies in a grade-A teritiary general hospital in Qingdao from 2006 to 2015. [Methods] Clini- cal data of in-patients with abdominal malignant tumors in a grade-A tertiary bospital in Qingdan from 2006 to 2015 were collected. The distribution,case-fatality rate and the causes of death of abdominal malignant tumors were analyzed. [Results] In 13316 in-patients with abdominal malig- nancies,7644 were males（57.40%） and 5672 were females（42.60%）,with a sex ratio was 1.35：1 and an average age of 57.13±12.84 years. The number of cases in 2015 was 4.52 times as that in 2006 ,with an average annual growth rate of 35.25%. The constitutions of abdominal malignant tu- mors were colorectal cancer（36.30%）,Iiver cancer （28.00%）,gastric cancer（24.20%）,pancreatic cancer（7.40%）, and carcinoma of gallbladder（4.10%）. The case-fatality rate Was 3.84%,the rate was significantly decreased by time （trend χ2=72.451 ;P〈0.001）. The male to female ratio of death case was 1.37：1. The most fatal cases were in age group over 60,accounting for 65.59% of male and 60.65% female cases. The causes of death were in the following order： liver cancer,colorectal cancer,gastric cancer,pancreatic cancer and carcinoma of gallbladder. [Conclusion／ The number of inpatients with abdominal malignant tumor increased and the case-fatality rate decreased from 2006 to 2015 in this grade-A tertiary general hospital in Qingdao.