摘要
目的探讨近年我院宫颈癌的发病情况及临床特征，为宫颈癌有效预防和临床诊治提供科学依据。方法选取新疆医科大学附属肿瘤医院2003年1月至2011年12月收治的宫颈癌患者5766例作为研究对象，对其发病情况及临床特征进行回顾性分析。结果①各年份宫颈癌新发病例呈逐年增高趋势，各年间比较差异有统计学意义（P〈0.05）。②发病年龄36～60岁4294例，占74.5％，平均年龄49.65±10.98岁；9年间发病高峰年龄呈现年轻化的趋势。③发病人群维吾尔族共3278例，占56.9％，但汉族发病人群呈逐年增高趋势；④发病地区南疆地区共3307例，占57.4％，南、北疆患病人群无明显变化趋势；城市患者所占比例呈逐年增高趋势；⑤农民和家庭妇女共4171例，占72.3％，但干部及其他职业有增加趋势；小学以下文化程度患者共3423例，占59.4％，但大专以上文化程度患者比例呈增加趋势；⑥I期、Ⅱ期患者比例增高，Ⅲ期、Ⅳ期患者呈下降趋势；鳞癌有逐渐降低、腺癌及腺鳞癌有逐渐增加趋势。结论近年来我院宫颈癌发病和早期比例逐年增高，且具有年轻化趋势，汉族比例增多、城市人口比例增多，干部及其他职业宫颈癌患者所占比例有逐年增加趋势，大专以上文化程度宫颈癌患者比例有升高趋势，临床分期早、腺癌和腺鳞癌比例增多的趋势。
Objective：To analyze the clinical data of cervical cancer in Xinjiang,and to provide some evidences for effective prevention,diagnosis and management of cervical cancer. Methods：5766 cases of cervical cancer from January 2003 to December 2011 were enrolled, and the clinical data were retrospectively analyzed. Results： ①The number of new cases in each year increased significantly in the past 9 years（ P〈0.05）. ②The mean age of onset was 49.65 ±10.98 years old, and 74.5% of cases ranged from 36 to 60 years old. The age of incidence peak became younger in the past 9 years.③The percentage of cases from Uighur nationality was 56.9%, and the number of cases from Han nationality increased in the past years. ④The percentage of cases from south Xin- jiang was 57.4% ,and the ratio of urban cases increased in the past years. ⑤ The percentage of cases from rural area or housewife was 72.3% ,and the ratio of official cases increased. The percentage of cases with educational level lower than primary school was 59.4%, and the ratio of cases higher than college increased in the past years. ⑥The ratio of cases in stages of Ⅰand Ⅱ increased, and stages ofⅢ and Ⅳ decreased in the past years. The ratio of cases of squamous cell carcinoma decreased, and of adenocarcinoma and adenosquamous carcinoma increased. Conclusions：In the past years,the incidence of cervical cancer and the proportion of early stage increased,with a younger trend of onset, and increased proportions of Han cases, urban cases, official case,cases with educational level over higher than college,case of early stage and cases of adenocarcinoma and adenosquamous carcinoma.
出处
《实用妇产科杂志》
CAS
CSCD
北大核心
2014年第10期768-772,共5页
Journal of Practical Obstetrics and Gynecology
关键词
宫颈癌
临床特征
回顾性研究
Cervical cancer
Clinical characteristics
Retrospective study
