2019—2023年武汉大学中南医院PET/CT检查的人群和疾病构成分析  

Analysis of population and disease composition of PET/CT examination in Zhongnan Hospital of Wuhan University from 2019 to 2023

作　　者：次珍 石璧 张利平[1] CI Zhen;SHI Bi;ZHANG Liping(Dept.of Social Medical Development,Zhongnan Hospital of Wuhan University,Wuhan 430071,Hubei,China;Dept of Radiology,Yingshan People's Hospital,Huanggang 438700,Hubei,China)

机构地区：[1]武汉大学中南医院社会医疗发展部,湖北武汉430071 [2]英山县人民医院放射影像科,湖北黄冈438700

出　　处：《武汉大学学报（医学版）》2024年第9期1076-1081,共6页Medical Journal of Wuhan University

摘　　要：目的:分析武汉大学中南医院PET/CT检查的人群和病种的构成情况,考察PET/CT使用实际状况,为我院PET/CT应用发展提供理论依据。方法:收集武汉大学中南医院2019年1月3日—2023年6月26日全部PET/CT受检者情况。共2599例受检者的资料纳入分析。采用SPSS 27.0进行数据统计与分析。结果:(1)从检查目的分析,肿瘤诊断、心血管疾病诊断、神经系统疾病诊断、骨骼疾病诊断、感染与炎症诊断的受检者构成比分别为96.6%、0.6%、0.3%、0.6%、1.8%;不同地区之间的PET/CT检查目的差异没有统计学意义(P>0.05)。(2)从肿瘤诊断分析,肿瘤筛查、肿瘤分期、定性诊断、寻找原发灶、靶向治疗、疗效监测的受检者构成比分别为51.7%、26.5%、16.2%、0.8%、0.1%、1.3%。(3)PET/CT检查前,临床诊断为恶性肿瘤的受检者前10位是肺癌(23.8%)、淋巴瘤(16.1%)、结直肠癌(9.7%)、睾丸恶性肿瘤(7.5%)、胃癌(6.4%)、宫颈癌(4.6%)、乳腺癌(4.5%)、胆管癌(3.3%)、胸腺恶性肿瘤(3.3%)、肝癌(2.8%);PET/CT检查前临床诊断为恶性肿瘤的不同地区分布差异没有统计学意义(P>0.05)。(4)受检者来源地区排名前10的是:武汉市(49.9%)、黄石市(13.7%)、黄冈市(10.1%)、襄阳市(4.8%)、湖北省外(4.3%)、省直辖县级行政单位(4.2%)、孝感市(2.9%)、荆州市(2.3%)、鄂州市(2.2%)、恩施土家族苗族自治州(1.9%)。结论:PET/CT检查对于提高疾病诊断和治疗的准确性、精确性和个体化水平具有重要意义;医院应根据PET/CT检查应用状况特点,不断提高PET/CT诊断的准确性,为受检者提供更加专业的诊疗服务。Objective:To analyze the composition of the population and diseases examined by PET/CT in Zhongnan Hospital of Wuhan University,examining the actual status of PET/CT usage and providing a theoretical basis for the development of PET/CT application in our hospital.Methods:The data of PET/CT subjects from January 3,2019 to June 26,2023 in Zhongnan Hospital of Wuhan University were collected.A total of 2599 patients were included in the analysis.SPSS 27.0 was used for data analysis.Results:(1)Purpose of the examination:the proportion of patients for tumor diagnosis,car-diovascular disease diagnosis,neurological disease diagnosis,bone disease diagnosis,and infections and inflammations diagnosis were 96.6%,0.6%,0.3%,0.6%,and 1.8%,respectively.There was no significant difference in the purpose of the PET/CT examination between different regions in Hubei,China(P>0.05).(2)Tumors diagnosis:the composition ratios of patients for tumor screen-ing,tumor staging,qualitative diagnosis,searching for primary foci,targeted therapy,and detecting efficacy were 51.7%,26.5%,16.2%,0.8%,0.1%,and 1.3%,respectively.(3)The top 10 ma-lignant tumors clinically diagnosed before PET/CT examination were lung cancer(23.8%),lympho-ma(16.1%),colorectal cancer(9.7%),testicular malignant tumor(7.5%),gastric cancer(6.4%),cervical cancer(4.6%),breast cancer(4.5%),cholangiocarcinoma(3.3%),thymus malignant tumor(3.3%),and liver cancer(2.8%).There was no significant difference in the distribution of clinically diagnosed malignant tumors from different regions before PET/CT examination(P>0.05).(4)The top 10 source regions of patients were Wuhan(49.9%),Huangshi(13.7%),Huanggang(10.1%),Xiangyang(4.8%),outside of Hubei Province(4.3%),county-level administrative units under the ju-risdiction of Hubei Province(4.2%),Xiaogan(2.9%),Jingzhou(2.3%),Ezhou(2.2%),and Enshi Tujia and Miao Autonomous Prefecture(1.9%).Conclusion:PET/CT examination is of great significance in improving the accuracy,precision,and individualization of disease diagnosis and treat-ment.Hosp

关 键 词：正电子发射断层显像 社会医疗发展 疾病构成 肿瘤筛查 

分 类 号：R445[医药卫生—影像医学与核医学]