6458例肺癌患者临床特征及诊疗现状分析

发布时间：2018-03-24 16:47

  本文选题：肺癌　切入点：临床流行病学　出处：《四川大学学报(医学版)》2017年03期

【摘要】：目的归纳总结原发性肺癌患者的临床特点及流行病学特征,并了解其诊断、治疗现状。方法回顾性分析2008~2014年于四川大学华西医院确诊的6 458例原发性肺癌患者临床病理资料,分析病理分型与年龄、性别、TNM分期等临床特征的相关性,并归纳总结其诊断、治疗状况。结果 6 458例原发性肺癌患者中男4 291例、女2 167例;患者平均年龄为59.22岁,其中40岁以下者占5.1%(335例),50~70岁在各病理类型中均为高发年龄段,约占所有肺癌人群的61.1%;首诊时Ⅰ期患者仅10.5%(675例),绝大部分患者在首诊时即为Ⅳ期(53.3%)。最常见的病理类型为腺癌(3 523例,54.44%),其次为鳞癌(1 637例,25.35%)及小细胞肺癌(916例,14.18%)。在鳞癌、腺癌、小细胞癌及其他类型肺癌中,最主要的诊断方式均为纤支镜及手术等获取的标本进行病理学检查诊断;最主要的治疗手段为手术及化疗。结论近七年于我院就诊的原发性肺癌患者仍以中老年男性为主,腺癌居多;手术及纤支镜获取的标本进行病理学检查是最主要的诊断方式,而手术及化疗则是最主要的治疗手段。
[Abstract]:Objective to summarize the clinical and epidemiological characteristics of patients with primary lung cancer, and to understand its diagnosis and treatment status. Methods the clinicopathological data of 6 458 cases of primary lung cancer diagnosed in Huaxi Hospital of Sichuan University from 2008 to 2014 were retrospectively analyzed. The correlation between pathological classification and age, sex and TNM staging was analyzed, and its diagnosis and treatment were summarized. Results there were 4 291 males and 2 167 females in 6 458 patients with primary lung cancer, the average age of the patients was 59.22 years old. Among them, 335 patients under 40 years old accounted for 335 patients with 50 or 70 years of age, all of whom were of high incidence in all pathological types. It accounted for about 61.1% of all lung cancer patients; at the first diagnosis, only 10.555 cases of stage I patients were involved in 675 cases, and most of the patients were stage 鈪，

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