北京某医院6584例肝癌患者病案随访数据分析  

Follow-up Data Analysis of 6584 Patients with Liver Cancer in a Hospital in Beijing

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

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病案室,北京市100021

出　　处：《中国病案》2025年第2期81-85,共5页Chinese Medical Record

摘　　要：目的 分析北京市三级甲等肿瘤专科类医院十年间肝癌患者构成,调查病案随访数据质量。方法 选取2009年1月1日至2018年12月31日间医院收治的6584例肝癌患者病案随访数据,分析构成特征及变化趋势。结果 肝癌患者的收治数量逐年增多,男性患者数量占比高于女性,五年期患者总体生存率为33.6%,十年间呈现先下降后上升的趋势。肝细胞癌的患者占比随年份的升高而升高,病理类型中肝细胞癌的患者五年期生存率最高为55.0%,腺癌最低为8.3%。在患者首次采用的治疗方式中,根治术、内科治疗、放射治疗和其他治疗的患者占比随着年份的升高而升高,介入治疗的患者占比随着年份的升高而降低,其中根治术的患者五年期生存率最高为62.1%。结论 患者的随访数据与我国肝癌的发病趋势相符,患者构成、疾病特点、随访结果等与相关文献报道一致,肝癌的病案随访数据质量稳定、可靠。Objectives To analyze the composition of liver cancer patients and investigate the quality of follow-up data of patients'records in a Three A and Tertiary Oncology Hospital in the past ten years.Methods The follow-up data of 6584 patients with liver cancer admitted to the hospital during the day from January 1st,2009 to December 31st,2018 were selected to analyze the composition characteristics and change trend.Results The number of liver cancer patients treated increased year by year,and the proportion of male patients was higher than that of female patients.The five-year overall survival rate of patients was 33.6%,which showed a trend of decreasing first and then increasing in ten years.The proportion of patients with hepatocellular carcinoma increased with the increase of years.Among the pathological types,the five-year survival rate of patients with hepatocellular carcinoma was the highest 55.0%and the lowest 8.3%.Among the first treatment methods,the proportion of patients with radical surgery,medical treatment,radiation therapy and other treatments increased with the increase of years,while the proportion of patients with interventional therapy decreased with the increase of years.The five-year survival rate of patients with radical surgery was the highest 62.1%.Conclusions The patients'follow-up data were consistent with the incidence trend of liver cancer in China,the composition of patients,disease characteristics and follow-up results were consistent with relevant literature reports,and the quality of the follow-up data of liver cancer was stable and reliable.

关 键 词：肝癌 病案 随访 疾病构成 生存分析 

分 类 号：R735.7[医药卫生—肿瘤]