14061例消化系统恶性肿瘤患者疾病构成分析  

The Disease Constitution Analysis of 14061 Patients with Malignant Tumors of Digestive System

作　　者：张子龙[1,2] 张静妮 王勃[1] 马艳庆[2] 兰咏梅 Zhang Zilong;Zhang Jingni;Wang Bo;Ma Yanqing;Lan Yongmei(Department of Oncological Surgery of Qinghai People’s Hospital,Xining 810007,Qinghai Province,China;不详)

机构地区：[1]青海省人民医院肿瘤外科,青海省西宁市810007 [2]西北民族大学医学部,甘肃省兰州市730030,青海省人民医院肿瘤外科,青海省西宁市810007,西北民族大学医学部,甘肃省兰州市730030

出　　处：《中国病案》2022年第10期80-83,共4页Chinese Medical Record

基　　金：青海省卫生健康委2019年指导性科研项目(2019-wjzdx-41)。

摘　　要：目的分析消化系统恶性肿瘤住院患者的疾病构成,为当地消化系统恶性肿瘤防治提供参考依据。方法根据国际疾病分类(ICD-10)整理青海省某综合性三甲医院2011年1月1日-2020年12月31日收治的14061例消化系统恶性肿瘤患者的住院病例资料,分析消化系统恶性肿瘤的疾病构成变化情况。结果每年收治的消化系统恶性肿瘤患者人数呈逐年下降趋势(χ^(2)=6.655,P=0.01);汉族、回族、藏族和其他民族患者中,胃恶性肿瘤构成比均位居第1顺位,其中回族的胃恶性肿瘤构成比高于其他民族,为48.2%,男女比例为2.52:1;男、女患者中胃恶性肿瘤构成比均位居第1顺位,但男性胃恶性肿瘤的构成比却高于女性,是女性的1.3倍;45~59岁和≥60岁患者中,高发消化系统恶性肿瘤病种构成比相对稳定,以胃、肝和肝内胆管及结直肠恶性肿瘤为主。结论发病率较高的前5位分别是胃恶性肿瘤、肝和肝内胆管恶性肿瘤、结直肠恶性肿瘤、食道恶性肿瘤及胰脏恶性肿瘤;45岁以上患者中胃恶性肿瘤发病率最高;各民族患者均以胃恶性肿瘤为高发疾病。Objectives To analyze the prevalence trend of digestive malignancy,and provide reference for prevention and treatment of digestive malignancy.Methods According to international Classification of Diseases(ICD-10),the data of all inpatients with digestive tract malignant tumors in Qinghai province a comprehensive third class a hospital during the past From January 1,2011-December 31,2020,a total of 14,061 patients were collected,to analyze the disease sequence and changes of patients with digestive system malignant tumor.Results From January 1st,2011 to December 31st,2021,a total of 14,061 patients with digestive system malignant tumors were admitted to hospital.The number of patients fluctuated annually,but malignant tumors and digestive system malignant tumors decreased year by year(χ^(2)=6.655,P=0.01).The patients were mainly male,with a male to female ratio of 2.52:1.The top five malignant tumors were stomach,liver and intrahepatic bile duct,esophagus,rectum,colon and pancreas,among which the gastric,liver and intrahepatic bile duct malignant tumors ranked first and second in the decade.Gastric cancer ranked first in patients over 45 years old.The incidence of gastric malignant tumor was high in all ethnic groups.Conclusions Malignant tumors of stomach,liver,intrahepatic bile duct and colorectal were the most common malignant tumors of digestive system in this region,so effective prevention and treatment should be carried out according to their characteristics to reduce the occurrence of malignant tumors of digestive system from the source.

关 键 词：消化系统恶性肿瘤 疾病构成:趋势 

分 类 号：R735[医药卫生—肿瘤]