我国部分地区PET/CT检查人群和病种构成分析
아국부분지구PET/CT검사인군화병충구성분석
Analysis of the proportion of the patients referred to PET/CT in some areas of China
  • 万方数据
    中华核医学杂志 중화핵의학잡지
    CHINESE JOURNAL OF NUCLEAR MEDICINE
    2008年 4期 270-275 ,共6页

    姚稚明%屈婉莹%郑建国%林嘉滨%罗志福%管一晖%王全师%陈秋松%张永学%黄庆娟%尹吉林%李亚明%刘庆伟%郭万华%王梅

    요치명%굴완형%정건국%림가빈%라지복%관일휘%왕전사%진추송%장영학%황경연%윤길림%리아명%류경위%곽만화%왕매

    体层摄影术,发射型计算机%体层摄影术,X线计算机%卫生服务使用研究%中国 體層攝影術,髮射型計算機%體層攝影術,X線計算機%衛生服務使用研究%中國
    체층섭영술,발사형계산궤%체층섭영술,X선계산궤%위생복무사용연구%중국
    Tomography,emission-computed%Tomography,X-ray computed%Marketing of health services%China
    目的 了解我国PET/CT使用实际状况,为推广PET/CT提供数据.方法 收集10家三甲医院PET/CT中心2006年6月-8月共3018例PET/CT受检者资料进行分析.结果 (1)检查目的:诊断肿瘤、体格检查和其他目的的受检者构成比分别为63.0%,32.9%和4.1%.(2)诊断:PET/CT诊断恶性肿瘤的真阳性率93.5%;PET/CT为38.6%的单纯转移癌受检者找到原发灶;在病理检查结果为良性病变,但临床仍要求鉴别占位性病变良恶性的受检者中,PET/CT发现23.3%的受检查者有恶性肿瘤.(3)受检者个人情况:不同月收入受检者例数前3位的组内构成比:＞6000元者30.4%,4001～6000元者28.8%,2001～4000元者18.6%;不同医疗社会保障受检者例数前3位的组内构成比:自费医疗者55.6%,国家基本医疗保险者26.5%,公费医疗者11.4%;不同职业受检者例数前3位的组内构成比:机关事业单位工作人员21.9%,退休人员15.6%,企业领导11.8%;不同受教育程度受检者例数前3位的组内构成比:大学(含大专)48.2%,高中(含中专或技校)21.3%,初中13.8%.结论 PET/CT在肿瘤学中有重要的临床应用价值.如何充分利用现有资源,充分发挥其效益是亟待解决的问题.
    목적 료해아국PET/CT사용실제상황,위추엄PET/CT제공수거.방법 수집10가삼갑의원PET/CT중심2006년6월-8월공3018례PET/CT수검자자료진행분석.결과 (1)검사목적:진단종류、체격검사화기타목적적수검자구성비분별위63.0%,32.9%화4.1%.(2)진단:PET/CT진단악성종류적진양성솔93.5%;PET/CT위38.6%적단순전이암수검자조도원발조;재병리검사결과위량성병변,단림상잉요구감별점위성병변량악성적수검자중,PET/CT발현23.3%적수검사자유악성종류.(3)수검자개인정황:불동월수입수검자례수전3위적조내구성비:＞6000원자30.4%,4001～6000원자28.8%,2001～4000원자18.6%;불동의료사회보장수검자례수전3위적조내구성비:자비의료자55.6%,국가기본의료보험자26.5%,공비의료자11.4%;불동직업수검자례수전3위적조내구성비:궤관사업단위공작인원21.9%,퇴휴인원15.6%,기업령도11.8%;불동수교육정도수검자례수전3위적조내구성비:대학(함대전)48.2%,고중(함중전혹기교)21.3%,초중13.8%.결론 PET/CT재종류학중유중요적림상응용개치.여하충분이용현유자원,충분발휘기효익시극대해결적문제.
    Objective The aim of this study was to analyze the current practical status of PET/CT application in China and for provision of data in support of promoting the utility of this imaging modality.Methods All 3018 PET/CT cases from 10 hospitals in the top 3 rankings were recruited in the data analysis from June to August,2006.Results(1)Reason for referral:the proportions of patients referred for oncologic diagnosis,check-up and other reasons were 63.0%,32.9% and 4.1%,respectively.(2)Diagnosis:PET/CT had a 93.5% true positive value in diagnosing malignant tumors,38.6% success rate in identifying the primary malignancy in patients presented with metastases.and 23.3% discovery rate of malignancy in patients with space-occupying lesions pathologically diagnosed as benign but clinically requested to differentiate between benignity and malignancy.(3)Patient data:the proportion of patients in the top 3 income groups(monthly)was:＞$6000,30.4%;$4001-6000,28.8%;and $2001-4000,18.6%.The proportion of patients in the top 3 medical insurance or security category:self-paid or uninsured,55.6%;national basic insurance scheme,26.5%;public paid fund,11.4%.The top 3 groups of patients catego rized according to profession were:departmental officials,21.9%;retiree,15.6%;company leaders,11.8%.The top 3 groups according to level of education were:university(including college),48.2%;high school(including technical training schools),21.3%;primary school,13.8%.Conclusions PET/CT holds an essential clinical value in oncology.It is an utmost issue on how to fully utilize the existing resources with a purpose to achieve maximal benefit and return.
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