北京某肿瘤医院12046例胃癌患者病案随访数据分析  

Analysis of medical records of 12,046 gastric cancer patients in a Beijing cancer hospital

作　　者：王凯鹏 霍宇艳 杨爱萍 杨景芳 马宇娇 刘爽 Wang Kaipeng;Huo Yuyuan;Yang Aiping;Yang Jingfang;Ma Yujiao;Liu Shuang(National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing,100021,China)

机构地区：[1]国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院,北京100021

出　　处：《中国病案》2025年第1期87-89,98,共4页Chinese Medical Record

摘　　要：目的分析北京市某三级甲等肿瘤专科类医院近10年间收治的胃癌患者构成,调查病案随访结果数据质量。方法选取2009年1月1日-2018年12月31日间医院收治的12046例胃癌恶性肿瘤患者病案随访数据,分析分布特征及变化趋势。结果胃癌患者的收治人数逐年递增,患者初治年龄逐步升高,男性占比高于女性,患者5年期生存率不存在线性趋势,总体生存率为58.1%,患者生存率随年份升高逐步升高。关于年龄,其中50岁~59岁年龄组5年期生存率最高,70岁以上年龄组最低。肿瘤部位中5年生存率最高的为胃小弯,其次为幽门,生存率最低的为贲门和胃未特指部位。肿瘤病理中胃肠间质瘤5年生存率最高,其次为高分化腺癌,生存率最低的为其他腺癌,其次为印戒细胞癌。肿瘤分期中5年生存率最高的为Ⅰ期,生存率最低的为Ⅳ期。结论胃癌随访数据的统计结果提示该院收治人数逐年递增,与我国胃癌发病趋势、患者结构特点相符,肿瘤病理、分期等随访结果与相关文献报道相一致,胃癌十年间的病案随访数据质量稳定、可靠。Objectives This study aims to analyze the composition of gastric cancer patients in tertiary grade A tumor specialized hospitals in Beijing in the past 10 years and investigate the data quality of medical record follow-up results.Methods The follow-up data of 12,046 patients with gastric cancer admitted to the hospital from January 1,2009 to December 31,2018 were selected to analyze the distribution characteristics and changing trends.Results The number of gastric cancer patients treated increased year by year,the age of patients at initial treatment gradually increased,the proportion of males was higher than that of females,and there was no linear trend in the 5-year survival rate of patients.The overall survival rate was 58.1%,and the patient survival rate gradually increased with each year.Regarding age,the 5-year survival rate was highest in the 50-59 age group and lowest in the 70-year-old and older age group.Among the tumor sites,the one with the highest 5-year survival rate was the lesser curvature of the stomach,followed by the pylorus,and the ones with the lowest survival rate were the cardia and unspecified parts of the stomach.Among tumor pathologies,gastrointestinal stromal tumors had the highest 5-year survival rate,followed by well-differentiated adenocarcinoma.The lowest survival rate was for other adenocarcinomas,followed by signet ring cell carcinoma.Among tumor stages,stage I had the highest 5-year survival rate,and stage IV had the lowest survival rate.Conclusions The statistical results of gastric cancer follow-up data are consistent with the incidence trend and patient structure characteristics of gastric cancer in our country.The follow-up results of tumor pathology,staging,etc.are consistent with relevant literature reports.The quality of gastric cancer medical record follow-up data over the past ten years is stable and reliable.

关 键 词：胃癌 病案 随访 疾病构成 生存分析27 

分 类 号：R735.2[医药卫生—肿瘤]