中华胸心血管外科杂志
中華胸心血管外科雜誌
중화흉심혈관외과잡지
Chinese Journal of Thoracic and Cardiovascular Surgery
2014年
1期
1-6,10
,共7页
徐小雄%张鹏%段亮%姜格宁%王海峰%刘明%宋楠%夏瑛%杨洁
徐小雄%張鵬%段亮%薑格寧%王海峰%劉明%宋楠%夏瑛%楊潔
서소웅%장붕%단량%강격저%왕해봉%류명%송남%하영%양길
肺肿瘤%肿瘤,组织学类型%肿瘤分期%病理学,外科
肺腫瘤%腫瘤,組織學類型%腫瘤分期%病理學,外科
폐종류%종류,조직학류형%종류분기%병이학,외과
Lung Neoplasms%Neoplasms by histological type%Neoplasm stage%Pathology,surgery
目的 观察同济大学附属上海肺科医院胸外科单中心手术治疗肺癌患者疾病谱的演变,探讨不同性别和地区患者组织学类型的分布差异和变化趋势.方法 回顾性分析1992年至2011年20年间在同济大学附属上海肺科医院胸外科行手术治疗的肺癌患者资料.分别统计患者性别、年龄、手术方式、TNM分期、户口所在地和病理类型,并在不同年份、性别和地区间进行比较.结果 手术治疗肺癌患者共12 117例,其中腺癌超过鳞癌成为最常见的类型,从1992年的30.43%上升至2011年的48.78%(P<0.01),鳞癌从57.45%降至32.18% (P<0.01).男性鳞癌最多见,但从1992年的62.93%下降至2011年的44.78% (P <0.01),腺癌从24.71%上升至34.44%(P<0.01).女性腺癌最常见,且从1992年的53.97%持续上升至2011年的79.00% (P <0.01).上海和上海周边地区患者分别以腺癌和鳞癌最为常见(P<0.01).手术治疗的Ⅰ期非小细胞肺癌患者比例上升明显,从1992年的34.91%上升至2011年的53.25%(P<0.01).结论 手术治疗的肺癌患者数量增长迅速,其组织学类型和非小细胞肺癌分期的分布已明显改变.
目的 觀察同濟大學附屬上海肺科醫院胸外科單中心手術治療肺癌患者疾病譜的縯變,探討不同性彆和地區患者組織學類型的分佈差異和變化趨勢.方法 迴顧性分析1992年至2011年20年間在同濟大學附屬上海肺科醫院胸外科行手術治療的肺癌患者資料.分彆統計患者性彆、年齡、手術方式、TNM分期、戶口所在地和病理類型,併在不同年份、性彆和地區間進行比較.結果 手術治療肺癌患者共12 117例,其中腺癌超過鱗癌成為最常見的類型,從1992年的30.43%上升至2011年的48.78%(P<0.01),鱗癌從57.45%降至32.18% (P<0.01).男性鱗癌最多見,但從1992年的62.93%下降至2011年的44.78% (P <0.01),腺癌從24.71%上升至34.44%(P<0.01).女性腺癌最常見,且從1992年的53.97%持續上升至2011年的79.00% (P <0.01).上海和上海週邊地區患者分彆以腺癌和鱗癌最為常見(P<0.01).手術治療的Ⅰ期非小細胞肺癌患者比例上升明顯,從1992年的34.91%上升至2011年的53.25%(P<0.01).結論 手術治療的肺癌患者數量增長迅速,其組織學類型和非小細胞肺癌分期的分佈已明顯改變.
목적 관찰동제대학부속상해폐과의원흉외과단중심수술치료폐암환자질병보적연변,탐토불동성별화지구환자조직학류형적분포차이화변화추세.방법 회고성분석1992년지2011년20년간재동제대학부속상해폐과의원흉외과행수술치료적폐암환자자료.분별통계환자성별、년령、수술방식、TNM분기、호구소재지화병리류형,병재불동년빈、성별화지구간진행비교.결과 수술치료폐암환자공12 117례,기중선암초과린암성위최상견적류형,종1992년적30.43%상승지2011년적48.78%(P<0.01),린암종57.45%강지32.18% (P<0.01).남성린암최다견,단종1992년적62.93%하강지2011년적44.78% (P <0.01),선암종24.71%상승지34.44%(P<0.01).녀성선암최상견,차종1992년적53.97%지속상승지2011년적79.00% (P <0.01).상해화상해주변지구환자분별이선암화린암최위상견(P<0.01).수술치료적Ⅰ기비소세포폐암환자비례상승명현,종1992년적34.91%상승지2011년적53.25%(P<0.01).결론 수술치료적폐암환자수량증장신속,기조직학류형화비소세포폐암분기적분포이명현개변.
Objective To explore the distribution of histological types and pathological stages of lung cancer patients operated in Shanghai Pulmonary Hospital.Methods Data of patients with lung cancer who received surgical resection in thoracic surgery department of Shanghai Pulmonary Hospital from 1992 to 2011 were collected.Chi-square with the level of significance P < 0.05 and chi-square test for trends were used as statistical methods.Results A number of 12 117 patients received surgical resection.Adenocarcinoma had become the most frequent histologic type among males and females combined,increased from 30.43% in 1992 to 48.78% in 2011,and squamous cell cancer decreased from 57.45% to 32.18%.Squamous cell cancer was the most frequent histologic type in males but decreased from 62.93% in 1992 to 44.78% in 2011,followed by adenocarcinoma (increased from 24.71% to 34.44%).Adenocarcinoma was the most frequent histologic type in females and increased from 53.97% in 1992 to 79.00% in 2011,followed by squamous cell cancer (decreased from 34.92% to 5.6%).Adenocarcinoma and squamous cell cancer were the most frequent histologic type in patients from Shanghai and from aroud Shanghai separately.Patients with stage Ⅰ NSCLC had increased from 34.91% in 1992 to 53.25% in 2011.Conclusion The number of lung caner operated patients has increased quickly.The distribution of the histologic types and pathological stages of lung cancer operated patients has changed apparently.