湖北某三甲综合医院2005年－2014年腹部常见恶性肿瘤疾病构成情况及死亡病例分析

目的：分析湖北某三甲综合医院腹部恶性肿瘤住院患者的疾病构成、病死率情况，为医院肿瘤防控工作及医疗质量管理提供依据。方法：回顾性分析2005年至2014年湖北省襄阳市中心医院6658例腹部恶性肿瘤住院患者及256例肿瘤住院死亡患者的临床资料，从性别、病种、死亡疾病构成、死因顺位等方面进行统计分析。结果：6658例腹部恶性肿瘤住院患者中，男性3822例（57．4％），女性2836例（42．6％），男女性别比1．35∶1。患者平均年龄（57．1±12．8）岁。腹部恶性肿瘤的疾病构成依次为：结直肠癌（36．3％）、肝癌（28．0％）、胃癌（24．2％）、胰腺癌（7．4％）、胆囊癌（4．1％）。男性腹部恶性肿瘤患者的前3位疾病构成为：肝癌、结直肠癌和胃癌，女性前3位疾病构成为：结直肠癌、胃癌、肝癌，第4、5位均为胰腺癌和胆囊癌。6658例腹部恶性肿瘤患者中，死亡256例，病死率为3．84％；2005年－2014年腹部恶性肿瘤住院患者呈逐年增加的趋势，2014年腹部恶性肿瘤住院人数为2005年的4．5倍，住院病死率从2005年的6．03％下降至2014年的2．35％，病死率随时间呈明显下降趋势（P ＜0．001）。对256例腹部恶性肿瘤死亡病例进行死因分析，结果显示，腹部恶性肿瘤的主要死因为：肝癌、结直肠癌、胃癌、胰腺癌、胆囊癌。男性的主要死因为肝癌、结直肠癌、胃癌、胰腺癌、胆囊癌；女性的主要死因为：胃癌、结直肠癌、肝癌、胰腺癌、胆囊癌。结论：腹部恶性肿瘤病例数逐年增加，中老年是主要发病人群，应当针对恶性肿瘤的构成特征、死亡构成有针对性的制定肿瘤防治策略。

The analysis of case fatality rate and death causes of abdominal malignancies in a top three general hospital in Hubei province 2005 -2014

Objective:To analyze the case fatality rate and death causes of abdominal malignancies in a top three general hospital in Hubei Province,to provide basis for the hospital cancer prevention and control and medical quality management.Methods:Retrospectively analyze the clinical data of 6 658 abdominal malignancies inpatients and 256 cancer death patients 2005 -2014 in Xiangyang Center Hospital.Results:In 6 658 cases of abdominal malignancies hospitalized patients,there were male 3 822 cases (57.4%),female 2 836 cases (42.6%),male to female ratio was 1.35∶1,mean age (57.1 ±12.8)years.Abdominal malignant diseases constituted as follows:colorectal cancer (36.3%),liver (28.0%),stomach (24.2%),pancreatic cancer (7.4%),gallbladder cancer (4.1%).Male pa-tients with malignant tumors of the abdomen before three diseases were:Liver cancer,colorectal cancer and gastric cancer,women the former three diseases:Colorectal cancer,stomach cancer,liver cancer,pancreatic cancer and 4,5 were gallbladder.In 6 658 cases of stomach cancer patients,256 dead,the mortality rate was 3.84%.2005 -2014 ab-dominal malignancies hospitalized patients showed a rising trend,in 2014 the number of abdominal malignancies hos-pitalized 4.5 times than 2005,In -hospital mortality decreased from 6.03% in 2005 to 2.35% in 2014,mortality was significantly decreased with time (P <0.001).Mainly because of the death of abdominal cancer:Liver cancer,color-ectal cancer,stomach cancer,pancreatic cancer,gallbladder cancer.Main causes of death in men were liver cancer, colorectal cancer,stomach cancer,pancreatic cancer,gallbladder cancer.Main cause of death of women were stomach cancer,colorectal cancer,liver cancer,pancreatic cancer,gallbladder cancer.Conclusion:The number of abdominal malignancies patients shows a trend of increasing year by year,the middle -aged and elderly people are the main part of hospitalized cancer patients.