大理汉族和白族甲状腺恶性肿瘤的临床研究

Clinical Research of Thyroid Malignant Tumor among Han and Bai Nationality in Dali

目的:探讨云南省第四人民医院所收治的汉族、白族甲状腺恶性肿瘤患者的临床特点与病理类型。方法:对云南省第四人民医院2011年1月至2015年12月所收治的汉族、白族甲状腺恶性肿瘤患者198例的临床资料进行回顾性分析。结果:本组汉族甲状腺恶性肿瘤病例140例(70.71%),白族58例(29.29%),与人口比例存在差异,差异具有统计学意义(P<0.05);病理类型比例为乳头状癌>滤泡状甲状腺癌>髓样癌>未分化癌。45岁以上与45岁以下患者在恶性程度方面相比差异无统计学意义(P>0.05)。结论:近5年云南省第四人民医院收治的汉族及白族甲状腺恶性肿瘤患者的发病率均有升高,并伴有民族和地域差异。按人口比例分析,汉族发病率明显高于白族。

Objective:To explore the clinical and pathological features of Han and Bai nationality patients with thyroid malignancy tumor treated in Yunnan Provincial Fourth People's Hospital.Methods:A total of198clinical cases of ethnic patients with thyroid malignancy tumor who treated in The Fourth People's Hospital of Yunnan from January2011to December2015were retrospectively analyzed.Results:The cases of Han were140(70.71%)and the Bai were58(29.29%).So ethnic composition ratio between cases and local population has a very significant difference(P<0.05);The rank of the rate of pathological type is papillary thyroid carcinoma,follicular thyroid carcinoma,medullary thyroid carcinoma,undifferentated thyroid carcinoma in order.The patients of more than45years old and under45years old have no difference in malignant degree(P>0.05).Conclusion:The incidence of Yunnan Han and Bai ethnic patients with thyroid malignancy tumor treated in The Fourth People's Hospital of Yunnan has increased within five years,with nationality and regional difference.According to the ratio analysis,the morbidity of Han nationality is significantly higher than the Bai cases.