2012年-2017年内蒙古西部地区某三甲医院肺癌临床特征分析

Analysis of Clinical Characteristics of Lung Cancer in a Three A and Tertiary Hospital in Western Inner Mongolia from 2012 to 2017

目的通过回顾性分析2012年-2017年内蒙古西部地区某三甲医院住院的原发性支气管肺癌的临床流行病学特征及病理类型特点,以初步了解近年来肺癌的流行趋势,从而为制定肺癌防控措施提供有效的依据,为肺癌的预防提供科学的依据。方法利用ICD-10编码检索2012年1月1日-2017年12月31日首次就诊确诊的肺癌患者资料,对患者的性别、年龄、吸烟史、病理类型及地区分布等临床资料进行比对分析。结果收集肺癌病例共4293例,6年间发病整体呈上升趋势;肺癌患者男女比例为3.12:1;40岁以上发患者数开始上升,60岁~69岁年龄段居多,占40.62%;男女患者各年龄段病理类型差异具有统计学意义,χ^(2)=422.998,P<0.001;6年间不同病理类型肺癌患者的人次差异有统计学意义。男性肺癌患者以鳞状细胞癌为主,女性患者以腺癌为主。吸烟患者中鳞癌占比高,鳞癌患者中吸烟占比高;乌兰察布市鳞癌的构成比最高。内蒙古西部地区各盟市鳞状细胞癌占各病理类型患者人次行卡方检验有统计学意义,χ^(2)=12.358,P<0.05。结论内蒙古西部某三甲医院腺癌在所有类型肺癌中所占比例呈上升趋势,鳞癌呈下降趋势,小细胞癌呈上升趋势;男性肺癌患者以鳞癌最常见,女性患者以腺癌常见。吸烟是导致肺癌的重要因素之一。乌兰察布市鳞癌的构成比最高。

Objectives Through retrospective analysis of the clinical epidemiological characteristics and pathological characteristics of primary bronchogenic carcinoma in a Three A and Tertiary Hospital in western Inner Mongolia from 2012 to 2017,this study aims to preliminarily understand the epidemic trend of lung cancer in recent years,so as to provide effective basis for the formulation of lung cancer prevention and control measures,and provide scientific basis for the prevention of lung cancer.Methods ICD-10 code was used to retrieve the data of lung cancer patients who were first diagnosed in 2012-2017,and the clinical data of patients’sex,age,smoking history,pathological type were compared and analyzed.Results A total of 4293 lung cancer cases were collected.The incidence of lung cancer increased from 2012 to 2017.The proportion of male and female lung cancer patients was 3.12:1.The number of patients over 40 years old began to rise,the majority of them were aged from 60 to 69 years old,accounting for 40.62%.The difference of pathological types between male and female patients was statistically significant(χ^(2)=422.998,P<0.001);there was significant difference in the proportion of patients with different pathological types of lung cancer between 2012 and 2017.Squamous cell carcinoma is the main form of lung cancer in men and adenocarcinoma in women.The proportion of patients with squamous cell carcinoma was higher than that of patients with squamous cell carcinoma;In Wulanchabu city,the proportion of squamous cell carcinoma was the highest,and there was statistical significance of chi square test in the number of patients with squamous cell carcinoma in the western region of Inner Mongolia(χ^(2)=12.358,P<0.05).Conclusions The proportion of adenocarcinoma in all types of lung cancer was on the rise,while that of squamous cell carcinoma was on the decline,while that of small cell carcinoma was on the rise.Squamous cell carcinoma was the most common type of lung cancer in men and adenocarcinoma in women.Smoking was one of the important factors leading to lung cancer.Wulanchabu had the highest proportion of phosphorus cancer.