726例食管癌患者分布特征分析

目的分析重庆地区食管癌住院患者的分布特征,为深入开展防治策略和方法研究提供科学依据。方法回顾性收集第三军医大学附属西南医院2005年1月～2008年12月收治的全部食管癌患者病历资料(726例,男582例,女144例),以病人ID号码采集病人个人特征、临床特征和手术治疗选择等信息,并进行流行病学三间分布特征描述。结果研究发现:(1)患者来源于重庆64个区县,其中开县最多(7.9%)。(2)男女比例4:1,51～60岁组患者最多(78.7%)。(3)食管中段癌发频率最高(51.2%),以鳞状细胞癌为主。(4)食管癌患者采用根治性手术的占78.0%。(5)手术患者平均手术时间为(4.1±1.0)h;平均住院天数为(21.8±9.7)d;围术期平均出血量为(406.8±242.5)ml。结论重庆市食管癌住院病例在个体特征、临床表现、诊断、病理类型等方面具有一定的分布规律,应根据这些信息深入开展防治策略研究。

Analysis of distribution characteristics of 726 patients with esophageal cancer in a hospital

Objective To study the distribution characteristics of esophageal cancer in Chongqing,and provide scientific basis for prevention and control strategy.Methods Clinical data of 726 cases of esophageal cancer who were hospitalized in Southwest Hospital were collected and reviewed retrospectively between January 2005 and December 2008.Results Through the study,the results showed that：（1）The patients were from 64 local areas.And the most one was Kai County（7.9%）;（2）Age group of 51～60 accounted for the largest proportion（78.7%）;（3）The ratio!of midpiece diseased region in esoph was great（51.2%）,the ratio of prickle cell carcinoma was the major type;（4）The majority of patients needed surgery（78.0%）;（5）The duration of patients who underwent surgical operation was（4.1±1.0）h;days in hospital was（21.8±9.7）d;perioperatie blood loss was（406.8±242.5）ml.Conclusions The distribution of esophageal cancer in Chongqing has its special characteristics,and the knowledge of its characteristics is beneficial to the prevention and treatment of esophageal cancer.