2019—2020年山东省体表血管瘤住院患者流行特征及手术治疗情况分析  

Epidemiological characteristics and surgical treatment of inpatients with superficial hemangioma in Shandong province from 2019 to 2020

作　　者：徐明磊 张丙银 郭晓雷[2] 霍然[3] Xu Minglei;Zhang Bingyin;Guo Xiaolei;Huo ran(Department of Restorative and Reconstructive Surgery,Shandong Public Health Clinical Center,Jinan 250102,China;Department of Non-communicable and Chronic Disease Control and Prevention,Shandong Center for Disease Control and Prevention,Jinan 250014,China;Department of Burn and Plastic Surgery,Shandong Provincial Hospital,Shandong University,Jinan 250021,China)

机构地区：[1]山东省公共卫生临床中心修复重建外科,济南250102 [2]山东省疾病预防控制中心慢性非传染性疾病防制所,济南250014 [3]山东大学山东省立医院烧伤整形外科,济南250021

出　　处：《中华医学杂志》2025年第3期240-243,共4页National Medical Journal of China

基　　金：泰山学者工程专项(TS201511105)。

摘　　要：调查分析山东省体表血管瘤住院患者流行特征和手术治疗情况。收集2019—2020年山东省全民健康信息平台中所有二级以上医疗机构上报的体表血管瘤住院患者病案首页资料,分析其人群特征及手术治疗情况。共纳入3775例体表血管瘤患者,年龄[M(Q1,Q3)]为3.0(0,33.0)岁,男1419例(37.6%),女2356例(62.4%)。头颈部占比最高37.8%(1425/3775),其次为四肢部34.5%(1302/3775)和躯干部24.4%(922/3775);婴儿占比最高37.2%(1406/3775)。76.1%(2874/3775)的体表血管瘤患者接受手术治疗,其中男性患者接受手术比例高于女性[78.2%(1110/1419)比74.9%(1764/2356),P=0.019];接受手术比例随年龄呈上升趋势(P趋势<0.001);从不同部位来看,四肢部体表血管瘤患者接受手术比例最高86.2%(1123/1302)(P<0.001)。手术操作级别以二级手术为主(55.8%,1110/1988),手术类型以择期手术为主(91.4%,1818/1988),手术切口等级以Ⅰ类切口为主(53.5%,1338/2501),手术麻醉方式以全身麻醉为主(50.9%,1219/2397)。治疗方式以切除治疗为主(48.1%,1816/3775)。2019—2020年山东省居民体表血管瘤住院患者以头颈部居多,女性多于男性,婴儿为主,以手术治疗为主。The epidemiological characteristics and surgical treatment of inpatients with superficial hemangioma in Shandong province were investigated and analyzed.The first-page medical records of hospitalized patients with superficial hemangioma from 2019 to 2020 reported by all secondary and above medical institutions in Shandong province were selected from the National Health Information Platform of Shandong province to analyze their population characteristics and surgical treatment.A total of 3775 patients with superficial hemangioma were included,with the age of[M(Q1,Q3)]3.0(0,33.0)years,including 1419 males(37.6%)and 2356 females(62.4%).The head and neck superficial hemangioma accounted for the highest proportion of 37.8%(1425/3775),followed by limbs 34.5%(1302/3775)and trunk 24.4%(922/3775).Infants accounted for the highest proportion of 37.2%(1406/3775).There were 2874(76.1%)patients with superficial hemangioma received surgical treatment,and the proportion of male patients receiving surgery was higher than that of female patients[78.2%(1110/1419)vs 74.9%(1764/2356),P=0.019].The proportion of patients receiving surgery increased with age(Ptrend<0.001).In terms of different parts,the proportion of patients with superficial hemangioma in the limbs who received surgery was the highest at 86.2%(1123/1302)(P<0.001).The majority of the surgical operations were secondary surgery(55.8%,1110/1988),elective surgery(91.4%,1818/1988),classⅠincision(53.5%,1338/2501),and general anesthesia(50.9%,1219/2397).The main treatment method was resection(48.1%,1816/3775).The study found that the majority of inpatients with superficial hemangioma in Shandong province were mostly in head and neck,with more females than males,and infants being the main group,and surgical treatment was the main treatment.

关 键 词：血管瘤 体表 流行特征 手术治疗 

分 类 号：R732.2[医药卫生—肿瘤]