肺癌1521例临床病例分析

目的:了解近3年来到川北医学院附属医院就诊的住院肺癌患者的发病特点及规律。方法:对该院2010年-2012年期间1521例肺癌住院患者的病历进行回顾性调查,分析性别,年龄,发病部位,易感因素,病理类型等方面的特征。结果:1 521例肺癌中男性1 124例,女性397例,发病年龄17⁹1岁,平均年龄60岁,左侧553例,右侧870例,未注明部位100例。有明确病理类型中,鳞癌397例,腺癌266例,小细胞癌89例,大细胞癌3例,其它49例。有吸烟史427例,慢性肺部疾病史487例等。结论:近三年来肺癌的发病趋势平稳,男性患病比例明显高于女性,女性发病有上升趋势。肺癌发病右侧多于左侧。有明确病理类型中,以鳞癌为主;不同性别患肺癌的病理类型有所不同,男性以鳞癌为主,女性以腺癌为主。高发年龄段均为5091岁,平均年龄60岁,左侧553例,右侧870例,未注明部位100例。有明确病理类型中,鳞癌397例,腺癌266例,小细胞癌89例,大细胞癌3例,其它49例。有吸烟史427例,慢性肺部疾病史487例等。结论:近三年来肺癌的发病趋势平稳,男性患病比例明显高于女性,女性发病有上升趋势。肺癌发病右侧多于左侧。有明确病理类型中,以鳞癌为主;不同性别患肺癌的病理类型有所不同,男性以鳞癌为主,女性以腺癌为主。高发年龄段均为50⁷9岁。本组调查数据中,肺癌相关危险因素(吸烟,嗜酒,慢性肺部疾病史等)在肺癌中所占比例有差异;除顺庆区外,不同地区的肺癌就诊人数相差不大。

Analysis of clinic characteristics of 1521 patients with lung neoplasms

Objective：To understand characteristics and rules of lung neoplasms by observing inpatients who came to affiliatedhospital of north Sichuan medical college for treatment in the past three years. Methods：The retrospective analyses of 1521 lung neo-plasms cases （2010-2012） were conducted, especially including the gender, age, disease location, risk factors, pathology, etc. Re-sults： Totally, there were 1124 male cases and 397 female cases. The range of the patients was from 17 to 91 years old with an averageage of 60 years old. There were 553 cases with the neoplasms in the left lung, 870 cases in the right lung, however, there were 100 ca-ses with unspecified neoplasm position. There were squamous carcinoma （397 cases）, adenocarcinoma （266 cases）, small cell carci-noma （89 cases）, large cell carcinoma （3 cases）, and the other （49 cases） according to the pathological classification. 427 caseshad smoking history, and 487 cases had chronic lung disease history and so on. Conclusions： In the recent three years, the incidenceof lung neoplasms is stable, the proportion of male is higher than female, and the incidence of the female is on the rise. The cases withthe right lung neoplasms are more than those with left lung neoplasms. According to the pathological classification, the squamous carci-noma is the main type. Sex is a factor which causes different types of lung cancer, that is, squamous carcinoma is common in men,while adenocarcinoma is common in women. The people of 50-79 years old have the high incidence of lung neoplasms. This survey da-ta shows that lung neoplasm＇s risk factors （smoking, alcohol, chronic lung disease history, etc. ） are not the main factors. ExceptShunqing district, there is no significant difference in the outpatient number.