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作 者:王敏[1] 许静 黄江云 杨会志 WANG Min;XU Jing;HUANG Jiangyun;YANG Huizhi(The First Affiliated Hospital of USTC,Anhui Provincial Hospital,Hefei 230000,China)
机构地区:[1]中国科学技术大学附属第一医院//安徽省立医院,安徽合肥230000
出 处:《现代医院》2023年第3期388-390,394,共4页Modern Hospitals
基 金:安徽省卫生健康软科学研究项目(2020WR02010)。
摘 要:目的通过对安徽省某三甲医院消化道恶性肿瘤住院病例的分析了解消化道恶性肿瘤的疾病构成,为合理分配医疗资源、提升医疗服务质量提供科学依据。方法选取某院2019—2020年期间首次第一诊断为消化道恶性肿瘤的住院患者进行统计分析。结果消化道恶性肿瘤发生部位前4位的分别是结直肠2295(23.74%)、胃2277(23.55%)、肝2242(23.19%)、食管1622(16.78%)。男性患者数量多于女性,男女比例为2.37∶1,其中肝(3.80∶1)、食管(3.23∶1)、胃(2.82∶1),男性患者数量明显高于女性。发病年龄高峰集中在60~69岁年龄段,占比是31.58%。消化道恶性肿瘤发生部位在年龄和性别方面构成比差异均有统计学意义(P<0.05)。结论消化道恶性肿瘤发生最多的部位是结直肠、胃、肝、食管,各部位消化道恶性肿瘤男性患者数量均高于女性,发病年龄高峰集中在60~69岁年龄段,应该针对不同人群采取有效的预防措施以降低肿瘤的发生率和病死率。Objective To understand the disease composition of digestive system malignant tumors by analyzing the inpatients of digestive system malignant tumor in a Three A and Tertiary Hospital in Anhui Province,so as to provide scientific basis for rational allocation of medical resources,improvement of medical service quality.Methods Inpatients with the first diagnosis of digestive system malignant tumor in a hospital from 2019 to 2020 were selected for statistical analysis.Results The top three sites of digestive system malignant tumor were colorectum 2295(23.74%),stomach 2277(23.55%),liver 2242(23.19%),esophagus 1622(16.78%).The ratio of male to female was 2.37∶1,especially liver and intrahepatic bile duct(3.80∶1),esophagus(3.23∶1)and stomach(2.82∶1).The peak age of onset was between 60 and 69 years old,accounting for 31.58%.There were significant differences in age and gender composition in the location of digestive tract malignant tumors(all P<0.05).Conclusion The most common sites of digestive tract malignant tumors are colorectum,stomach,liver,esophagus.The number of male patients with malignant tumors of digestive tract in various parts is higher than that of female patients The peak age of onset is concentrated in the 60-69 age group.Effective preventive measures should be taken to reduce the incidence and mortality of digestive system malignant tumor in different populations.
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