摘要
[目的]分析青岛市某三甲综合医院2006-2015年腹部恶性肿瘤住院患者的患病特征、病死率及主要死因。[方法]回顾性分析2006-2015年间所有住院治疗的腹部恶性肿瘤病例及肿瘤住院死亡病例,分析腹部恶性肿瘤患病疾病情况,计算病死率,分析死亡原因。[结果]13 316例腹部恶性肿瘤住院患者中,男性7644例（57.40%）,女性5672例（42.60%）,男女性别比1.35∶1;患者平均年龄57.13±12.84岁。2015年腹部恶性肿瘤住院患者人数是2006年的4.52倍,腹部恶性肿瘤住院人数平均年增长率为35.25%。腹部恶性肿瘤的疾病构成依次为：结直肠癌（36.30%）、肝癌（28.00%）、胃癌（24.20%）、胰腺癌（7.40%）、胆囊癌（4.10%）。腹部恶性肿瘤住院患者病死率为3.84%,病死率随时间呈明显下降趋势（趋势χ2=72.451,P〈0.001）。死亡病例的性别比为1.37∶1;60岁以上老年人群占全部死亡构成的65.82%。男性、女性腹部恶性肿瘤死亡病例均集中在60岁以上老年人群,构成比占全部男性、女性死亡总例数的65.59%和60.65%。死因顺位依次为：肝癌、结直肠癌、胃癌、胰腺癌和胆囊癌。[结论 ]腹部恶性肿瘤住院患者逐年增加,病死率逐年下降,死亡病例集中在老年人群,应加强对重点癌种的防治工作,有针对性的制定肿瘤防治策略。
[Purpose ] To analyze the clinical characteristics and case fatality rate of abdominal ma- lignancies in a grade-A teritiary general hospital in Qingdao from 2006 to 2015. [Methods] Clini- cal data of in-patients with abdominal malignant tumors in a grade-A tertiary bospital in Qingdan from 2006 to 2015 were collected. The distribution,case-fatality rate and the causes of death of abdominal malignant tumors were analyzed. [Results] In 13316 in-patients with abdominal malig- nancies,7644 were males（57.40%） and 5672 were females（42.60%）,with a sex ratio was 1.35：1 and an average age of 57.13±12.84 years. The number of cases in 2015 was 4.52 times as that in 2006 ,with an average annual growth rate of 35.25%. The constitutions of abdominal malignant tu- mors were colorectal cancer（36.30%）,Iiver cancer （28.00%）,gastric cancer（24.20%）,pancreatic cancer（7.40%）, and carcinoma of gallbladder（4.10%）. The case-fatality rate Was 3.84%,the rate was significantly decreased by time （trend χ2=72.451 ;P〈0.001）. The male to female ratio of death case was 1.37：1. The most fatal cases were in age group over 60,accounting for 65.59% of male and 60.65% female cases. The causes of death were in the following order： liver cancer,colorectal cancer,gastric cancer,pancreatic cancer and carcinoma of gallbladder. [Conclusion／ The number of inpatients with abdominal malignant tumor increased and the case-fatality rate decreased from 2006 to 2015 in this grade-A tertiary general hospital in Qingdao.
出处
《中国肿瘤》
CAS
2016年第9期694-698,共5页
China Cancer
关键词
腹部恶性肿瘤
住院患者
疾病构成
死因
abdominal malignant tumor
in-patients
disease constitution
death causes
