2004—2018年宁波某医院乳腺疾病手术患者变化分析

Variation trend analysis of patients received breast surgery in a hospital in Ningbo from 2004 to 2018

目的了解2004—2018年宁波市乳腺疾病手术患者的变化,分析乳腺恶性肿瘤病理学特点,探究乳腺疾病的年龄变化。方法选取2004—2018年宁波市某医院行乳腺手术并取得病理结果患者7099人,共7916人次,回顾性分析患者基本情况,观察各年龄段肿块性质构成变化及不同年份乳腺疾病和乳腺恶性肿瘤构成变化。结果15年间乳腺疾病手术患者明显增加,乳腺纤维腺瘤、乳腺癌增加明显,但乳腺纤维腺瘤构成比变化不明显,乳腺恶性肿瘤构成比减少,从2004年的44.7%减少到2018年的16.6%。结论乳腺疾病住院手术患者病种及乳腺恶性肿瘤病理类型构成发生了变化;乳腺恶性肿瘤的构成比呈下降趋势。应继续加强对乳腺恶性肿瘤的认识,进一步寻找相关危险因素及预防措施。

Objective To understand the changes of the patient composition of breast disease operation in Ningbo city from 2004 to 2018,analyze the pathological features of breast carcinoma,and explore the changes of age composition of breast diseases.Methods Totally 7,916 lesions were selected from 7,099 patients who underwent breast surgery and obtained pathological results in a hospital in Ningbo from 2004 to 2018.The basic conditions of the patients were analyzed retrospectively,and the changes in the nature and composition of masses at all ages and the changes in the composition of breast diseases and breast malignant tumors in different years were observed.Results In the past 15 years,the number of patients undergoing breast disease surgery has increased significantly.The number of breast fibroadenoma and breast cancer has increased significantly,but the composition ratio of breast fibroadenoma has not changed significantly.The composition ratio of breast malignant tumor has decreased,from 44.7%in 2004 to 16.6%in 2018.Conclusion The disease composition of hospitalized patients with breast diseases has changed.The proportion of breast malignant tumors showed a downward trend.We should continue to strengthen the understanding of breast malignant tumors and further look for relevant risk factors and preventive measures.