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目的分析山西省三级医院恶性肿瘤构成及区域性特点,为区域恶性肿瘤防控提供依据。方法通过山西省医疗机构服务能力分析与评估平台收集2015年山西省三级以上医院病案首页数据,将患者首次住院且首诊断为恶性肿瘤的病案首页数据纳入分析组,分别按照患者的性别、年龄、ICD10疾病类目统计构成。结果构成比排前五位恶性肿瘤为肺恶性肿瘤(16.8%)、胃恶性肿瘤(13.2%)、乳房恶性肿瘤(7.4%)、食管恶性肿瘤(6.8%)、宫颈恶性肿瘤(5.9%);男性患者构成比前五位恶性肿瘤为肺恶性肿瘤(23.2%)、胃恶性肿瘤(19.3%)、食管恶性肿瘤(8.1%)、直肠恶性肿瘤(4.8%)、肝恶性肿瘤(4.5%);女性患者构成比前五位恶性肿瘤为乳房恶性肿瘤(15.8%)、宫颈恶性肿瘤(12.9%)、肺恶性肿瘤(9.3%)、胃恶性肿瘤(6.1%)、甲状腺恶性肿瘤(5.4%)。结论山西省恶性肿瘤患者数量随着年龄的增长呈增多趋势,35岁以后的中老年患者占比增速明显,属山西省的重点防治对象;新发病例主要为呼吸、消化、生殖等系统肿瘤,患者主要集中在三级以上医院诊治。
Objective To analyze the composition and regional characteristics of malignant tumors in tertiary hospitals in Shanxi Province and provide evidence for the prevention and control of malignant tumors in the region. Methods The first page of data of medical records of Grade III and above hospitals in Shanxi Province was collected from the service capability analysis and evaluation platform of Shanxi Medical Institutions in 2015. The data of the first case of hospitalized patients with first diagnosis of malignant tumors were included in the analysis group. According to the patients’ sex, age , ICD10 disease category statistics composition. The results showed that the top five malignant tumors were lung cancer (16.8%), stomach cancer (13.2%), breast cancer (7.4%), esophageal cancer (6.8%) and cervical cancer (5.9%). Male patients constituted the most common malignancies (23.2%), gastric malignancies (19.3%), esophageal malignancies (8.1%), rectal malignancies (4.8%) and hepatic malignancies (4.5%) than the top five malignancies. Female patients constitute the first five malignant tumors (15.8%), cervical malignancies (12.9%), lung malignancies (9.3%), gastric malignancies (6.1%) and thyroid malignancies (5.4%) than the top five malignancies. Conclusions The number of patients with malignant tumors in Shanxi province tends to increase with age. The proportion of middle-aged and elderly patients after 35 years of age increases significantly, which is the key prevention and treatment target of Shanxi Province. The newly diagnosed cases are mainly respiratory, digestive and reproductive system tumors , Patients are mainly concentrated in the diagnosis and treatment of more than three hospitals.