云南省肿瘤医院1000例结直肠癌患者临床特征  

A Clinical Features Analysis of 1 000 Cases of Colorectal Cancer in Yunnan Tumor Hospital

作　　者：赵敏[1] 张强[1] 马永慈 龙飞 林艳苹[1] 徐学斌[1] 张锦平[1] Zhao Min;Zhang Qiang;Ma Yongci;Long Fei;Lin Yanping;Xu Xuebing;Zhang jingping.(The Third Affiliated Hospital of Kunming Medical University,Yunnan Tumor Hospital,Yunnan CancerCenter,Yunnan Kunming 650118)

机构地区：[1]昆明医科大学第三附属医院云南省肿瘤医院云南省癌症中心,云南昆明650118

出　　处：《昆明医科大学学报》2018年第5期90-93,共4页Journal of Kunming Medical University

基　　金：云南省档案局科技科研基金资助项目(2017-Y-06)

摘　　要：目的研究云南省肿瘤医院结直肠癌患者的构成特点,为结直肠癌的防治工作提供相关依据.方法回顾性分析2005年3月至2014年12月云南省肿瘤医院首诊并接受主要治疗的结直肠癌患者,按照抽样原则每年抽样100例,共1 000例.统计分析临床及病理资料,包括年龄、性别、发病部位、病理分型、TNM分期.结果(1)1 000例结直肠癌患者平均年龄(63.4±12.8)岁,男女高发年龄段均为60~69岁,岁占比最高,男性患病占比高于女性,为1.42:1;(2)原发部位以直肠多见,占57%,其次为升结肠、乙状结肠、直乙交界、横结肠、降结肠、盲肠;(3)腺癌是最主要的病理类型,占89.4%;(4)TNM分期以III期为主,占35.9%,其次是II期、I期、IV期.其中直肠癌以III期为主,结肠癌以II期为主.结论结直肠癌年龄段(60~69)岁占比最高;中老年及男性比重大;发病部位主要位于直肠;腺癌是主要的病理类型;TNM分期以中早期为主.Objective To study the characteristics of colorectal cancer patients in Yunnan Tumor Hospital,and to provide the basis for the prevention and treatment of colorectal cancer. Me thods Retrospective analysis was used to review colorectal cancer patients who were diagnosed first and received the main treatment in Yunnan Cancer Hospital from March 2005 to December 2014.According to the sampling principle,there were 100 cases each year, with a total of 1000 cases. The clinical and pathological data were analyzed, including age, gender,pathogenesis, pathological type, and TNM stage. Re s ults The average age of the 1000 patients enrolled in the survey was（63.4 ± 12.8） years old, the male and female age group（60-69） accounted for the highest proportion.both men and women aged between 60 and 69 had a high occurance rate, and male patients were more than the female with a fraction of 1.42：1. Rectum is the most common primary site, accounting for 57%, followed by ascending colon, sigmoid colon, straight B junction, transverse colon, descending colon, and cecum.Adenocarcinoma was the main pathological type, accounting for 89.4%.Stage III was the most common in TNM staging, accounting for 35.9%, followed by stage II, I, and stage IV. Most rectal cancers were found at stage III, and colon cancer at stage II. Conclus ion The proportion of colorectal cancer in the age group（60-69 years）was the highest; the proportion of middle-aged and male was significant.The high incidence of colorectal cancer was60 - 69 years old, especially males.The main part of colorectal cancer was located in the rectum.Adenocarcinoma was the most common pathological type. Most patients were later stage when diagnosed.

关 键 词：结直肠癌 临床特征 病理类型 构成特点 

分 类 号：R735.3[医药卫生—肿瘤]