全国胆囊癌临床流行病学调查报告  

Clinical epidemiologic characteristics of carcinoma of gallbladder in China.

作　　者：邹声泉[1] 张林[1] 

机构地区：[1]同济医科大学同济医院,武汉430030

出　　处：《中国实用外科杂志》2000年第1期43-46,共4页Chinese Journal of Practical Surgery

摘　　要：目的　了解我国胆囊癌人群、地理和时间分布和特征。方法　回顾性分析 392 2例全国胆囊癌临床流行病学调查 (1986年 1月至 1998年 12月 )资料 ;结果　我国胆囊癌 (1)占同期胆道疾病构成比的 0 4%～ 3 8% ,平均为 1 5 3 % ;胆囊癌占同期普通外科疾病的构成比为 0 1%～ 1 1% ,平均为 0 2 8%。 (2 )以老年女性为主。(3)在我国西北和东北地区发病比长江以南地区高。农村比城市发病率高。 (4 )合并胆囊结石者为 49 7% ,患胆囊结石者发生胆囊癌的相对危险度 13 7。结论　胆囊癌是一种老年女性常见的恶性胆道肿瘤疾病 ,发病存在地区、时间差异。Objective\ To make clear the incidence,clinical characteristics and possible regional difference of gallbladder cancer in china.Methods\ A total of 3922 cases of gallbladder cancer between 1986～1998 were reviewed.Results\ (1)Gallbladder cancer accounted for 0 4%～3 8% of bile tract disease in the same period,average was 1 53%.Gallbladder cancer accounted for 0 1%～1 1% of abdominal surgery in the same period,average was 0.28%.(2)The incidence of gallbladder cancer was higher in the aged females.(3)There was significant difference in the incidence between the north and south of China.The incidence was higher in the countryside than in the city.(4)Gallstones were found in about 49 7% of the cases of gallbladder cancer.RR=13 7 Conclusion\ Gallbladder cancer is common in the aged females.There is specific populational,time and regional difference in the distribution of gallbladder cancer.

关 键 词：胆囊癌 流行病学 胆囊结石 病死率 患病率 

分 类 号：R735.8[医药卫生—肿瘤] R657.42[医药卫生—临床医学]