邯郸地区成人恶性肿瘤疾病谱特点分析

Analysis on the Clinical Characteristics of Adults' Malignant Tumors in Handan District

目的探讨邯郸地区成人恶性肿瘤的发病特点,为制定防治策略提供依据。方法收集2007年3月-2012年3月在河北工程大学附属医院、邯郸市中心医院、邯郸市第一医院等经病理确诊的成年恶性肿瘤患者的基本信息,用SPSS软件对其构成比进行统计学分析。结果共收集成年恶性肿瘤患者11 912例,其中成年男性患者4992例,占41.9%,成年女性患者6920例,占58.1%,男女比例为1∶1.39;年龄18～94岁,中位年龄69岁。恶性肿瘤构成比居前10位的为乳腺癌、食管癌、胃癌、肺癌、子宫癌、直肠癌、结肠癌、甲状腺癌、膀胱癌、卵巢癌,共10 772例,占全部患者的90.43%,构成比依次为26.80%、17.02%、16.66%、7.69%、7.52%、5.07%、3.90%、2.12%、1.98%、1.68%。男性恶性肿瘤构成比居前10位的为胃癌、食管癌、肺癌、直肠癌、结肠癌、膀胱癌、喉癌、唇颊部癌、甲状腺癌、鼻腔癌,共4512例,占全部患者的37.88%,构成比依次为12.66%、11.28%、5.84%、2.18%、1.91%、1.41%、0.77%、0.74%、0.57%、0.50%。女性恶性肿瘤构成比居前10位的为乳腺癌、子宫癌、食管癌、胃癌、直肠癌、结肠癌、肺癌、卵巢癌、甲状腺癌、膀胱癌,共6500例,占全部患者的54.57%,构成比依次为26.80%、7.52%、5.74%、3.99%、2.89%、1.98%、1.85%、1.68%、1.54%、0.57%。结论邯郸地区成年女性恶性肿瘤发病率高于成年男性,应高度重视乳腺癌、消化道癌、呼吸系统癌、子宫癌、膀胱癌、卵巢癌、甲状腺癌的防治工作。

Objective To investigate the characteristics of adults’malignant tumors in Handan and to provide clinical data for making control and preventive strategy.Methods The basic information of adult malignant tumor patients who were diagnosed by pathology was collected from March 2007 to March 2012 in Affiliated Hospital of Hebei Engineering University,Handan No.1 Hospital and Handan Central Hospital.The constituent ratio of patients was analyzed by SPSS.Results 11 912 adult patients with malignant tumor were collected in total,with 4992 male(41.9%)and 6920 female(58.1%),and the Male/Female ratio is 1∶1.39.The patients'age ranged from 18 to 94,and the median age is 69.The top 10 ratio malignant tumors of 10,772 cases,accounting for 90.43% of all patients,are respectively breast cancer(26.80%),esophageal cancer(17.02%),gastric cancer(16.66%),lung cancer(7.69%),metrocarcinoma(7.52%),rectal cancer(5.07%),colon cancer(3.90%),thyroid cancer(2.12%),bladder cancer(1.98%)and ovarian cancer(1.68%).The top 10 ratio malignant tumors in male patients,4512 cases,accounting for 37.88% of all patients,are respectively gastric cancer(12.66%),esophageal cancer(11.28%),lung cancer(5.84%),rectal cancer(2.18%),colon cancer(1.91%),and bladder cancer(1.41%),laryngeal cancer(0.77%),lip buccal cancer(0.74%),thyroid cancer(0.57%)and carcinoma of the nasal cavity(0.50%).The top 10 ratio malignant tumors in female patients,6500 cases,accounting for 54.57% of all patients,are breast cancer(26.80%),metrocarcinoma(7.52%),esophageal cancer(5.74%),gastric cancer(3.99%),colorectal cancer(2.89%),colon cancer(1.98%),lung cancer(1.85%),ovarian cancer(1.68%),thyroid cancer(1.54%),bladder cancer(0.57%)respectively.Conclusion The incidence of malignant tumor in adult female is higher than that in adult male.We should attach great importance to the prevention and treatment of malignant tumors,especially to breast cancer,digestive tract cancer,respiratory cancer,metrocarcinoma,bladder cancer,ovarian cancer and thyroid cancer.