中华泌尿外科杂志
中華泌尿外科雜誌
중화비뇨외과잡지
CHINESE JOURNAL OF UROLOGY
2011年
8期
535-538
,共4页
刘明%王建业%万钢%王鑫%王建龙%陈鑫%马宏%朱生才%魏东%万奔%张力青
劉明%王建業%萬鋼%王鑫%王建龍%陳鑫%馬宏%硃生纔%魏東%萬奔%張力青
류명%왕건업%만강%왕흠%왕건룡%진흠%마굉%주생재%위동%만분%장력청
前列腺肿瘤%癌%早期诊断%回顾性研究
前列腺腫瘤%癌%早期診斷%迴顧性研究
전렬선종류%암%조기진단%회고성연구
Prostatic neoplasms%Carcinoma%Early detection%Retrospective studies
目的 了解血清前列腺特异抗原(PSA)临床应用推广后前列腺癌诊断状况的变化.方法 回顾性分析1995-2008年北京医院新诊断的前列腺癌病例资料,对诊断例数、确诊年龄、PSA水平以及临床分期状况进行分析.结果 14年间共新诊断前列腺癌患者432例,确诊年龄40～90岁,平均(72.0±7.8)岁.新诊断例数逐年增加,尤以2007-2008年显著.与1995-1999年相比,2004-2008年局限性前列腺癌比例由23.9%上升至36.3%,转移性前列腺癌比例由49.3%下降至32.1%;PSA 4～10 ng/ml者比例由12.7%上升至29.2%,PSA＞100 ng/ml者比例由22.5%下降至13.2%.结论 1995-2008年北京医院新诊断前列腺癌例数上升,早期诊断率增加,诊断年龄无明显偏移.前列腺癌的早期诊断率仍有待提高.
目的 瞭解血清前列腺特異抗原(PSA)臨床應用推廣後前列腺癌診斷狀況的變化.方法 迴顧性分析1995-2008年北京醫院新診斷的前列腺癌病例資料,對診斷例數、確診年齡、PSA水平以及臨床分期狀況進行分析.結果 14年間共新診斷前列腺癌患者432例,確診年齡40～90歲,平均(72.0±7.8)歲.新診斷例數逐年增加,尤以2007-2008年顯著.與1995-1999年相比,2004-2008年跼限性前列腺癌比例由23.9%上升至36.3%,轉移性前列腺癌比例由49.3%下降至32.1%;PSA 4～10 ng/ml者比例由12.7%上升至29.2%,PSA＞100 ng/ml者比例由22.5%下降至13.2%.結論 1995-2008年北京醫院新診斷前列腺癌例數上升,早期診斷率增加,診斷年齡無明顯偏移.前列腺癌的早期診斷率仍有待提高.
목적 료해혈청전렬선특이항원(PSA)림상응용추엄후전렬선암진단상황적변화.방법 회고성분석1995-2008년북경의원신진단적전렬선암병례자료,대진단례수、학진년령、PSA수평이급림상분기상황진행분석.결과 14년간공신진단전렬선암환자432례,학진년령40～90세,평균(72.0±7.8)세.신진단례수축년증가,우이2007-2008년현저.여1995-1999년상비,2004-2008년국한성전렬선암비례유23.9%상승지36.3%,전이성전렬선암비례유49.3%하강지32.1%;PSA 4～10 ng/ml자비례유12.7%상승지29.2%,PSA＞100 ng/ml자비례유22.5%하강지13.2%.결론 1995-2008년북경의원신진단전렬선암례수상승,조기진단솔증가,진단년령무명현편이.전렬선암적조기진단솔잉유대제고.
Objective To evaluate the morbidity trend of prostate cancer since the clinical usage of PSA was introduced in Beijing Hospital.Methods Retrospectively we analyzed prostate cancer cases diagnosed in Beijing Hospital from 1995 to 2008.The incidence, age, PSA and clinical stage at diagnosis were taken into account.Results Four hundred and thirty-two cases were enrolled into the study.Who were aged 40 - 90 years old, mean age 72.0 ± 7.8 years.The most frequent age at diagnosis was 70 to 79 years.The incidence increased annually with the most significant increase taking place in 2007 and 2008.Compared with the period 1995 to 1999, the localized prostate cancer rate between 2004 and 2008 increased from 23.9% to 36.3%; the metastatic prostate cancer rate decreased from 49.3% to 32.1%; the rate of patients with PSA 4 - 10 ng,/ml increased from 12.7% to 29.2%; the rate of PSA ＞ 100 ng/ml decreased from 22.5% to 13.2%.Conclusions The incidence and early detection rate of prostate cancer in Beijing Hospital increased from 1995 to 2008.The age at diagnosis had not significantly changed.However, the early detection rate should be improved.
