广东鼻咽癌早期发现与误诊现况临床定量研究

发布时间：2018-03-03 15:44

  本文选题：鼻咽癌　切入点：广东　出处：《实用医学杂志》2016年12期 　论文类型：期刊论文

【摘要】：目的:分析广东省鼻咽癌早期发现定量现况及误诊情况。方法:收集近期我院放疗科鼻咽癌病区收治经病理活检确诊的初治鼻咽癌患者50例,分析患者主诉症征类别及从发现至鼻咽癌确诊的间隔时间,同时探讨患者首诊被误诊情况。采用Spearmans秩相关分析探讨症征发现时间与分期相关性及误诊医院与误诊率相关性,采用方差分析探讨不同症征持续时间与肿瘤分期间的关系。结果:Spearmans相关分析结果显示,首发症征从发生到鼻咽癌确诊间隔时间(AT)与p TNM分期成正相关(P0.05)。症征发生1个月内就诊患者平均分期为Ⅱ期,6个月内升至超过Ⅲ期,12个月后则至Ⅳ期。首诊被误诊总体概率为12%,误诊率与医院级别相关(P0.05)。结论:广东鼻咽癌早期发现状况不容乐观,镇/村等基层医疗场所鼻咽癌首诊误诊现象较为严峻,鼻咽癌二级预防宣教并于基层医疗场所开展鼻咽癌诊疗相关培训为势在必行之举。
[Abstract]:Objective: to analyze the present situation of early diagnosis and misdiagnosis of nasopharyngeal carcinoma (NPC) in Guangdong Province. The types of main complaint symptoms and the interval between discovery and diagnosis of nasopharyngeal carcinoma were analyzed. Spearmans rank correlation analysis was used to investigate the correlation between the finding time of symptoms and stages, and the correlation between misdiagnosis hospital and misdiagnosis rate. Variance analysis was used to study the relationship between the duration of different symptoms and tumor stages. The first symptom was positively correlated with p TNM staging from onset to diagnosis of nasopharyngeal carcinoma. Within one month of onset of the symptom, the average staging of the patient was stage 鈪，

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