中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2011年
43期
3058-3061
,共4页
章静菲%王彤%武明辉%张为远
章靜菲%王彤%武明輝%張為遠
장정비%왕동%무명휘%장위원
宫颈癌%流行病学%诊断
宮頸癌%流行病學%診斷
궁경암%류행병학%진단
Cervical cancer%Epidemiology%Diagnosis
目的 分析北京市宫颈癌的发病趋势和临床特点,了解各级医院宫颈癌的诊断状况,完善北京市宫颈癌登记资料,为逐步规范宫颈癌临床诊治提供科学依据.方法 采用分层整群抽样方法,抽取北京市三级专科医院2所,综合三级医院10所,郊区二级医院10所,对1990至2009年共1399份宫颈浸润痛病历做回顾性调查,并将年份按5年分为4组,对各组临床特点进行统计分析.结果 (1)近20年来宫颈癌的新发病例数呈增高趋势.(2)年龄:17～88岁,平均年龄由58.2岁逐年降至46.0岁,差异有统计学意义(P＜0.01).分期:Ⅰ期772例(57.1％),Ⅱ期380例(28.1％),Ⅲ期182例(13.5％),Ⅳ期18例(1.3％),Ⅰ期和Ⅱ期的比例由69.6％( 16/23)逐年升高至89.4％(530/856).病理:鳞癌1135例(83.1％),腺癌182例(13.3％),20年来病理类型无明显改变,鳞癌仍为主要类型(P＞0.05).(3)调查医院中26.0％ (364/1399)的宫颈癌患者末行三合诊检查,3.4％(48/1399)的患者未予分期.结论 近20年,北京市宫颈癌的发病和早期比例逐渐增高,且具有年轻化趋势.宫颈癌的诊断存在不规范现象,宫颈癌的筛查、诊治和随访有待进一步规范化.
目的 分析北京市宮頸癌的髮病趨勢和臨床特點,瞭解各級醫院宮頸癌的診斷狀況,完善北京市宮頸癌登記資料,為逐步規範宮頸癌臨床診治提供科學依據.方法 採用分層整群抽樣方法,抽取北京市三級專科醫院2所,綜閤三級醫院10所,郊區二級醫院10所,對1990至2009年共1399份宮頸浸潤痛病歷做迴顧性調查,併將年份按5年分為4組,對各組臨床特點進行統計分析.結果 (1)近20年來宮頸癌的新髮病例數呈增高趨勢.(2)年齡:17～88歲,平均年齡由58.2歲逐年降至46.0歲,差異有統計學意義(P＜0.01).分期:Ⅰ期772例(57.1％),Ⅱ期380例(28.1％),Ⅲ期182例(13.5％),Ⅳ期18例(1.3％),Ⅰ期和Ⅱ期的比例由69.6％( 16/23)逐年升高至89.4％(530/856).病理:鱗癌1135例(83.1％),腺癌182例(13.3％),20年來病理類型無明顯改變,鱗癌仍為主要類型(P＞0.05).(3)調查醫院中26.0％ (364/1399)的宮頸癌患者末行三閤診檢查,3.4％(48/1399)的患者未予分期.結論 近20年,北京市宮頸癌的髮病和早期比例逐漸增高,且具有年輕化趨勢.宮頸癌的診斷存在不規範現象,宮頸癌的篩查、診治和隨訪有待進一步規範化.
목적 분석북경시궁경암적발병추세화림상특점,료해각급의원궁경암적진단상황,완선북경시궁경암등기자료,위축보규범궁경암림상진치제공과학의거.방법 채용분층정군추양방법,추취북경시삼급전과의원2소,종합삼급의원10소,교구이급의원10소,대1990지2009년공1399빈궁경침윤통병력주회고성조사,병장년빈안5년분위4조,대각조림상특점진행통계분석.결과 (1)근20년래궁경암적신발병례수정증고추세.(2)년령:17～88세,평균년령유58.2세축년강지46.0세,차이유통계학의의(P＜0.01).분기:Ⅰ기772례(57.1％),Ⅱ기380례(28.1％),Ⅲ기182례(13.5％),Ⅳ기18례(1.3％),Ⅰ기화Ⅱ기적비례유69.6％( 16/23)축년승고지89.4％(530/856).병리:린암1135례(83.1％),선암182례(13.3％),20년래병리류형무명현개변,린암잉위주요류형(P＞0.05).(3)조사의원중26.0％ (364/1399)적궁경암환자말행삼합진검사,3.4％(48/1399)적환자미여분기.결론 근20년,북경시궁경암적발병화조기비례축점증고,차구유년경화추세.궁경암적진단존재불규범현상,궁경암적사사、진치화수방유대진일보규범화.
Objective To analyze the prevalence and clinical characteristics of hospitalized patients with cervical cancer over the last two decades in Beijing so as to provide scientific rationales for the management of cervical cancer.Methods Stratified cluster sampling was employed to analyze a total of 1399 invasive cervical cancer cases from different class hospitals in Beijing during the period of 1990 -2009.Results ( 1 ) The number of cervical cancer cases had been rising over the last 2 decades.(2) The age of onset ranged from 17 to 88 years old; the number of patients with stages Ⅰ,Ⅱ,Ⅲ and Ⅳ was 772 (57.1％ ),380 ( 28.1％ ),182 ( 13.5％ ) and 18 ( 1.3％ ) respectively; 1135 ( 83.1％ ) patients were of squamous cell carcinoma while 182 ( 13.3％ ) adenocarcinoma.The last two decades was divided into 4 groups of 5 years each.The average age gradually decreased from 58.2 to 46.0 years old( P ＜ 0.01 ).The proportion of patients with stages Ⅰ and Ⅱ also increased from 69.6％ (16/23) to 89.4％ (530/856) ; There was no significant change in histopathologic type of cervical cancer.And squamous cell carcinoma of cervix remained the predominant type(P ＞0.05).(3) About 26.0％ (364/1399) of cases received no vagino-recto-abdominal examination while 3.4％ (48/1399) of cases were not staged.Conclusion Over the last two decades,the number of newly diagnosed cervical cancer cases has showed a rising trend in Beijing.And the proportions of young patients and patients with early disease have both increased.Some irregularities still exist in the diagnosis of cervical cancer.So we should pay more attention to the screening program and standardize the diagnosis,therapy and follow-up of cervical cancer.
