2020年河南省肿瘤介入诊疗现状调查分析

Investigation and analysis of cancer interventional diagnosis and therapy at Henan Province in 2020

目的调查河南省肿瘤介入诊疗现状,为微创事业发展策略提供可靠数据。方法采用网上电子问卷形式对省297家肿瘤介入专委会会员医院行实名制调查,调查内容为医院级别、职称构成、年手术量等14个方面,并基于医院级别行分层分析。结果问卷有效回复率89.2%(265/297)。调查表明:(1)全省肿瘤介入从业者2201人,每医院平均8.3人,主要来源为介入科和肿瘤科,占84.9%;(2)高级职称218人,占9.9%;(3)35~50岁人数最多,为1035人,占47%;(4)设备情况为有平板DSA 207家,占78.1%,CT导向165家,占62.3%;(5)有介入病房155家,占58.5%;(6)手术量超500台/年的有88家,占33.2%;(7)介入术式前三分别为TACE、穿刺活检、置管治疗;(8)主要技术学习途径,省内学习209家,占78.7%;(9)有远程医疗中心的208家,占78.5%。三级医院在科室构成、职称构成、年龄结构、病房设置、年手术量、是否有远程会诊中心六方面,与非三级医院比较,有统计学差异(P<0.05)。结论河南肿瘤介入事业整体发展良好,以DSA下血管介入为主,CT/US导向介入增长迅猛,应加强非三级医院介入学科建设。

Objective To investigate the current status of interventional diagnosis and treatment of tumors in Henan Province and provide reliable data for the future development of minimally invasive therapy.Methods An online electronic questionnaire was used to survey 297 hospitals in cancer interventional treatment professional committee of Henan Province.The survey consisted 14 aspects,such as hospital grading,job title composition,annual surgeries and so on.Stratified analysis was performed based on hospital grading.Results The electronic questionnaire effective response rate was 89.2%(265/297).The survey showed that(1)there were 2,201 tumor interventional practitioners,with an average of 8.3 per hospital mainly from departments of intervention and oncology,accountting for 84.9%;(2)218 cases have senior titles,accounting for 9.9%;(3)The maximum number of people aged 35-50 is 1035 cases,accounting for 47%;(4)207 hospitals have flat detector DSA accounting for 78.1%;165 hospitals have CT guidance accounting for 62.3%;(5)155 hospitals have interventional wards accounting for 58.5%;(6)88 hospitals have surgeries more than 500/per year,accounting for 33.2%;(7)The most common interventional procedures are TACE,puncture biopsy,and catheterization therapy;(8)209 hospitals choose to get interventional technology in Henan province,accounting for 78.7%;(9)208 hospitals have telemedicine consultation system,accounting for 78.5%.Compared between third-grading and non-third-grading hospitals,there were statistical differences at department composition,job title composition,age structure,ward setting,annual surgeries and telemedicine consultation system(P<0.05).Conclusions The overall development status of tumor intervention in Henan has been good.Mainly business was vascular intervention under DSA guidance,and CT/US-guided intervention has been growing rapidly.The construction of intervention disciplines in non-third-grading hospitals should be enhanced.