摘要
目的探讨海南省人民医院收治海南籍甲状腺癌病例发病的临床特点与病理类型。方法回顾性分析海南省人民医院2006—2010年收治海南籍甲状腺癌239例患者的临床资料。结果2006—2008年分别收治甲状腺癌44、40、37例，这3年几乎无明显差异，2009—2010年分别收治64例和54例，其中2009年病例数比2008年提高了72.97％；收治病例的高峰年龄，女性25～55岁，男性20～55岁；本组汉族甲状腺癌病例231例（96．65％），少数民族病例8例（3．35％），与人口比例存在显著差异（χ2=21．376，P〈0．01）；本组按地区分布，东部175例，其中生活在城市的患者138例（78．86％），西部患者64例，生活在城市的患者30例（46．88％），两组比较差异有统计学意义（χ^2=4．420，P〈0．05）；病理类型，乳头状癌228例（95．4％），髓样癌7例（2．92％），滤泡状甲状腺癌2例（0．84％），未分化癌2例（0．84％）。结论近5年，本院收治的海南籍甲状腺癌患者发病率升高，伴有年轻化趋势和地域差异。按人口比例分析，汉族病例发病率明显高于少数民族。病理类型比例乳头状癌〉髓样癌〉滤泡状甲状腺癌〉未分化癌。
Objective To explore the clinical and pathological features of Hainan patients with thyroid carcinoma treated in Hainan Provincial People＇ s Hospital. Methods A total of 239 clinical cases of Hainan patients with thyroid carcinoma treated in Hainan Provincial People＇ s Hospital from 2006 to 2010 were retrospectively analyzed. Results The number of thyroid carcinoma cases between 2006 to 2008 was stable. But the cases in 2009 were 72.97% higher than that in 2008. Female＇ s peak of onset age was 25 to 55 years and male was 20 to 55 years. The cases of Han were 231 （96.65%） and the national minority were 8 （3.35%）. So ethnic composition ratio between cases and local population has a very significant difference （χ2 =21. 376, P 〈0.01 ）. The eastern and western regions had 175 cases and 64 cases respectively, 138 （78.86%） and 34（46.88% ） cases from city respectively. Urban and rural ratio between eastern and west-ern areas had a significant difference （χ2 = 4. 420, P 〈 0.05 ）. The 259 cases were composed of 228 cases （95.4%） of papilarry thyroid carcinoma, 7 cases （2.92%） of medullary thyroid carcinoma, both 2 cases （ 0.84% ） of follicular thyroid carcinoma and anaplastic thyroid carcinoma. Conclusions The incidence of ltainan nationality patients with thyroid carcinoma treated in Hainan Provincial People＇ s Hospital has increased from 2006 to 2010, with younger trend and regional difference. Thyroid carcinoma has a difference in race and region. The rank of the rate of pathological type is papillary thyroid carcinoma, medullary thyroid carcinoma, follicular thyroid carcinoma, undifferentated thyroid carcinoma in order.
出处
《国际外科学杂志》
2012年第2期83-86,F0003,共5页
International Journal of Surgery
关键词
海南省
甲状腺癌
临床分析
Hainan province
Thyroid carcinoma
Clinical analysis
