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目的分析探讨10年间就诊子宫颈癌患者的人群特征及接受治疗等相关情况的变化趋势,对子宫颈癌的防治提供临床流行病学依据。方法选取长治市某三级甲等医院2002年1月至2011年12月收治的子宫颈癌患者979例作为研究对象,进行回顾性研究,比较不同年代子宫颈癌患者就诊时的年龄、职业、付费方式、组织病理类型和治疗方式等的分布状况。结果 (1)患者平均年龄为(49.0±9.0)岁,10年间40～59岁一直为就诊高峰(73.1%),鳞癌是主要的病理类型(89.6%)。(2)人均住院费用为(6656.1±2807.9)元,人均住院费用占当地人均收入的比例由2002年的91.7%下降为2011年的75.5%。(3)自2008年以后自费患者显著下降,社会医疗保险上升(P<0.001)。(4)手术仍为子宫颈癌治疗的主要方式,放射治疗逐渐得以应用。结论 40～59岁为子宫颈癌患者就诊高峰年龄段,35～60岁可作为筛查首要考虑人群;在经济的发展及国家政策的支持下,医疗保险逐渐发挥作用,患者疾病负担减轻。
Objective To analyze and analyze the changing trend of the crowd characteristics of cervical cancer patients treated for 10 years and their treatment and so on, and provide the clinical epidemiological evidence for the prevention and treatment of cervical cancer. Methods A total of 979 cases of cervical cancer from January 2002 to December 2011 in a hospital of Grade A in Changzhi City were selected as the research objects and compared retrospectively to compare the age, occupation, Payment methods, histopathological types and treatment methods such as distribution. Results (1) The mean age of patients was (49.0 ± 9.0) years old, 40 to 59 years old was the peak of treatment (73.1%) in 10 years and squamous cell carcinoma was the main pathological type (89.6%). (2) The per capita hospitalization cost was (6656.1 ± 2807.9) yuan, and the proportion of per capita hospitalization expenses in per capita income decreased from 91.7% in 2002 to 75.5% in 2011. (3) There was a significant drop in self-paying patients after 2008, and social health insurance increased (P <0.001). (4) Surgery is still the main treatment for cervical cancer, radiation therapy gradually be applied. Conclusions The 40- to 59-year-old patients are the peak age for treatment of cervical cancer patients, 35 to 60 years old can be considered as the primary screening population. With the development of economy and the support of national policies, the medical insurance will play a role gradually and the disease burden will be relieved.