国际外科学杂志
國際外科學雜誌
국제외과학잡지
INTERNATIONAL JOURNAL OF SURGERY
2012年
2期
83-86
,共4页
顾文彪%吕云福%谢贤和%何超
顧文彪%呂雲福%謝賢和%何超
고문표%려운복%사현화%하초
海南省%甲状腺癌%临床分析
海南省%甲狀腺癌%臨床分析
해남성%갑상선암%림상분석
Hainan province%Thyroid carcinoma%Clinical analysis
目的 探讨海南省人民医院收治海南籍甲状腺癌病例发病的临床特点与病理类型.方法 回顾性分析海南省人民医院2006-2010年收治海南籍甲状腺癌239例患者的临床资料.结果 2006 - 2008年分别收治甲状腺癌44、40、37例,这3年几乎无明显差异,2009-2010年分别收治64例和54例,其中2009年病例数比2008年提高了72.97％；收治病例的高峰年龄,女性25～55岁,男性20 ～55岁；本组汉族甲状腺癌病例231例(96.65％),少数民族病例8例(3.35％),与人口比例存在显著差异(x2 =21.376,P＜0.01)；本组按地区分布,东部175例,其中生活在城市的患者138例(78.86％),西部患者64例,生活在城市的患者30例(46.88％),两组比较差异有统计学意义(x2=4.420,P＜0.05)；病理类型,乳头状癌228例(95.4％),髓样癌7例(2.92％),滤泡状甲状腺癌2例(0.84％),未分化癌2例(0.84％).结论 近5年,本院收治的海南籍甲状腺癌患者发病率升高,伴有年轻化趋势和地域差异.按人口比例分析,汉族病例发病率明显高于少数民族.病理类型比例乳头状癌＞髓样癌＞滤泡状甲状腺癌＞未分化癌.
目的 探討海南省人民醫院收治海南籍甲狀腺癌病例髮病的臨床特點與病理類型.方法 迴顧性分析海南省人民醫院2006-2010年收治海南籍甲狀腺癌239例患者的臨床資料.結果 2006 - 2008年分彆收治甲狀腺癌44、40、37例,這3年幾乎無明顯差異,2009-2010年分彆收治64例和54例,其中2009年病例數比2008年提高瞭72.97％；收治病例的高峰年齡,女性25～55歲,男性20 ～55歲；本組漢族甲狀腺癌病例231例(96.65％),少數民族病例8例(3.35％),與人口比例存在顯著差異(x2 =21.376,P＜0.01)；本組按地區分佈,東部175例,其中生活在城市的患者138例(78.86％),西部患者64例,生活在城市的患者30例(46.88％),兩組比較差異有統計學意義(x2=4.420,P＜0.05)；病理類型,乳頭狀癌228例(95.4％),髓樣癌7例(2.92％),濾泡狀甲狀腺癌2例(0.84％),未分化癌2例(0.84％).結論 近5年,本院收治的海南籍甲狀腺癌患者髮病率升高,伴有年輕化趨勢和地域差異.按人口比例分析,漢族病例髮病率明顯高于少數民族.病理類型比例乳頭狀癌＞髓樣癌＞濾泡狀甲狀腺癌＞未分化癌.
목적 탐토해남성인민의원수치해남적갑상선암병례발병적림상특점여병리류형.방법 회고성분석해남성인민의원2006-2010년수치해남적갑상선암239례환자적림상자료.결과 2006 - 2008년분별수치갑상선암44、40、37례,저3년궤호무명현차이,2009-2010년분별수치64례화54례,기중2009년병례수비2008년제고료72.97％；수치병례적고봉년령,녀성25～55세,남성20 ～55세；본조한족갑상선암병례231례(96.65％),소수민족병례8례(3.35％),여인구비례존재현저차이(x2 =21.376,P＜0.01)；본조안지구분포,동부175례,기중생활재성시적환자138례(78.86％),서부환자64례,생활재성시적환자30례(46.88％),량조비교차이유통계학의의(x2=4.420,P＜0.05)；병리류형,유두상암228례(95.4％),수양암7례(2.92％),려포상갑상선암2례(0.84％),미분화암2례(0.84％).결론 근5년,본원수치적해남적갑상선암환자발병솔승고,반유년경화추세화지역차이.안인구비례분석,한족병례발병솔명현고우소수민족.병리류형비례유두상암＞수양암＞려포상갑상선암＞미분화암.
Objective To explore the clinical and pathological features of Hainan patients with thyroid carcinoma treated in Hainan Provincial People' s Hospital.Methods A total of 239 clinical cases of Hainan patients with thyroid carcinoma treated in Hainan Provincial People' s Hospital from 2006 to 2010 were retrospectively analyzed.Results The number of thyroid carcinoma cases between 2006 to 2008 was stable.But the cases in 2009 were 72.97％ higher than that in 2008.Female' s peak of onset age was 25 to 55 years and male was 20 to 55 years.The cases of Hant were 231 (96.65％) and the national minority were 8(3.35％ ).So ethnic composition ratio between cases and local population has a very significant difference (x2 =21.376,P ＜0.01 ).The eastern and western regions had 175 cases and 64 cases respectively,138 (78.86％) and 34(46.88％ ) cases from city respectively.Urban and rural ratio between eastern and western areas had a significant difference (x2 =4.420,P ＜ 0.05 ).The 239 cases were composed of 228 cases (95.4％) of papilarry thyroid carcinoma,7 cases (2.92％) of medullary thyroid carcinoma,both 2 cases (0.84％) of follicular thyroid carcinoma and anaplastic thyroid carcinoma.Conclusions The incidence of Hainan nationality patients with thyroid carcinoma treated in Hainan Provincial People' s Hospital has increased from 2006 to 2010,with younger trend and regional difference.Thyroid carcinoma has a difference in race and region.The rank of the rate of pathological type is papillary thyroid carcinoma,medullary thyroid carcinoma,follicular thyroid carcinoma,undifferentated thyroid carcinoma in order.
