2003年至2012年甲状腺癌前后5年病例分析

目的 了解本地区甲状腺癌流行病学特征.方法 收集2003至2012年10年间791例在我院初次住院的甲状腺癌病例临床资料,分析比较前后5年甲状腺癌发病特征及动态变化.结果 前5年甲状腺癌住院病例为269例,后5年为522例,后5年甲状腺癌住院病例明显增加,比前5年上升94.05%;总体男女比例为1∶3.4;其中前5年男女比例为1∶3.8,后5年男女比例为1∶3.2,前后5年对比差别无统计学意义（χ 2 =0.985 P=0.321）;发病年龄主要分布于30～50岁年龄段,占全部病例的66.88%;前5年平均年龄45.57±14.410,后5年平均年龄43.55±14.325,发病年龄前后5年平均年龄比较差别无统计学意义（t=1.872 P=0.062）;甲状腺癌病理类型前后5年均以乳头状癌为主,分别为85.13%、87.55%,比较前后5年病理类型构成,差别有统计学意义（精确概率法P=0.04）.结论 甲状腺癌住院病例呈逐年递增趋势,近5年甲状腺癌病例增加明显;以乳头状癌为主,近5年乳头状癌比例有上升趋势;发病年龄集中在30～50岁人群;女性居多.

Cases Contrast Analysis of The Former and Later Five Years of Thyroid Cancer Patients from 2003 to 2012

Objective To study the epidemic characteristics of thyroid cancer patients in the local region. Method The clinical ma- terials of 791 cases of thyroid cancer patients admitted in our hospital from 2003 to 2012 were collected, and analyzed the characteris- tics and dynamic changes. Result There were 269 cases of thyroid cancer patients in the former five years and 522 cases in the later five years. The inpatients had obviously increased in the later five years, and the increasing rate was 94.05 %. The gender ratio of men and women was 1 ： 3.4 in all the cases, while in the former five years was 1 ： 3.8 and 1 ： 3.2 in the later five years, and had no statistical significance （X2 = 0. 985 P = 0. 321）. The age of the patients ranged from thirty to fifty, which took 66.88 %. The av- erage age in the former five years was 45.57 ＋ 14.410 and the later five years was 43.55 ＋ 14.325, which had no statistical signifi- cance（ t = 1. 872 P = 0.062）. The pathological type of both the former and later five years was nipple cancer, and were 85.13% and 87.55 % respectively, which had statistical significance（Accurate Probability Method P = 0.04）. Conclusion The inpatients of thyroid cancer had a trend of~inereasing year by year especially in the later five years, most of which were nipple cancer, and its pro- portion was increasing. The age of inpatients got thyroid cancer ranged from thirty to fifty, and women took more percent.