北京市居民原发口腔鳞状细胞癌发病情况及相关资料分析——单中心5年连续研究

目的:分析北京市居民原发口腔癌发病、治疗及资源消耗情况.方法:连续抽取2009 ～ 2013年于北京大学口腔医院住院的北京市居民原发口腔癌患者的病历资料,采集年龄、性别、部位、分期、烟酒史、术式、住院日、费用等信息进行回顾性分析.结果:共有415例患者入组,男女性别比为1.2∶1.舌癌最多见(41.0％),男女口腔癌的部位分布有统计学差异(P＜0.01).40岁以上患者占96.6％,中位诊断年龄64岁,男女口腔癌的年龄分布有统计学差异(P＜0.01).晚期口腔癌占54.9％.中位治疗费、手术费、住院日随肿瘤T分期进展而递增.结论:从单中心角度看,北京市晚期口腔癌占半数,晚期口腔癌医疗资源消耗明显升高,应当进一步加强预防措施.

Analysis of primary oral squamous cell carcinoma in Beijing inhabitants: A 5-year continuous study of a single center

Objective:To analyze the incidence,treatment and resource consumption of primary oral squamous cell carcinoma (OSCC) in Beijing inhabitants.Methods:Consecutive cases of primary OSCC of Beijing inhabitants admitted to the Stomatology Hospital of Peking University between 2009-2013 were selected from the medical record department.A retrospective analysis was performed on the clinical data which including age,sex,sites,TNM stage,habits of smoking and drinking,treatment,fees,etc.Results:415 cases were included in this analysis.The male-to-female ratio was 1.2∶ 1.Tongue was the most common affected site(41.0％).The difference of the distribution of the affected sites between male and female patients was statistically significant(P ＜0.01).96.6％ patients were diagnosed above the age of 40 years with the median age of 64(56,73).The difference of the distribution of age between male and female patients was statistically significant(P ＜ 0.01).The patients with stage Ⅲ-Ⅳ accounted for 54.9％.With the development of T stage of the primary tumor,the average hospital fee,surgery fee and hospitolization time increased correspondingly.Conclusion:Late stage OSCC accounts for over half of all OSCC patients.The consumption of medical resources increases significantly with the development of tumor,thus more preventive measures are required.