大肠癌病例623例资料统计分析_临床医学论文.docVIP

大肠癌病例623例资料统计分析_临床医学论文 大肠癌病例623例资料统计分析_临床医学论文 【摘要】 目的 了解本地区大肠癌的发病特点和变化趋势，为肿瘤防治工作提供参考依据。 方法 收集本院病理科1995～2004年10年间经活检确诊的大肠癌病例资料，录入到Access数据库中进行统计分析。 结果 10年间共检出大肠癌病例623例，其中后5年大肠癌病例378例，较前5年多133例;40岁以上564例，占全部病例的90.53%，中位年龄62岁，高峰年龄段为60～70岁组，后5年老年组病例构成比下降而中青年组上升;男352例，女271例，男女比为1.30∶1;发病部位以直肠最多，占341例，其次为乙状结肠;组织学类型以管状腺癌为主，共554例，其次为黏液腺癌;入院进行手术的病例共200例，占全部病例的32.10%。 结论 本地区大肠癌发病率呈上升状态，男性多于女性，多见于直肠，以管状腺癌为主。中青年大肠癌发病率较老年人上升速度更为明显。 　　关键词 大肠癌 发病率 统计分析 　　Statistical analysis of623cases of large intestine cancer 　　【Abstract】 Objective To investigate the clinical characteristic and change tendency of large intestine cancer in this district，and to advance prevention and cure measure for tumor cases.Methods Large intestine cancer cases were collected from the department of pathology of our hospital from1995to2004，and were analyzed with Access database.Results 623cases of large intestine cancer were observed during10years.378cases of large intestine can-cer in the latter5years，the number of the cases in the latter5years increased133cases compared to the earlier5years.564cases were older than40years，accounted for90.53%of all cases.The median age was62years old，the peak age was60～70years old.The ratio of the old group cases was dropped，but the young and middle-aged group raised in the latter5years.The cases consisted of352males and271females，with male to female ratio of1.30∶1.The most common site of the cancer was the rectum，accounted for341，secondly it was sigmoid colon.The histology classi-fication took glandular form adenocarcinoma as the core，accounted for554，secondly it was mucinous adenocarcinoma.Admitted to hospital the cases of carried on the operation and amount to200，accounted for32.10%of all cases.Con-clusion The morbility of large intestine cancer in this district presents the state of rising，male exceeds female，more in rectum，taking glandular form adenocarcinoma as the core.The speed is more obvious that the morbility of young and middle-aged large intestine cancer ris