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[目的]统计分析癌症住院患者病志的TNM分期执行情况,为卫生行政相关部门制订工作计划及质量控制提供依据。[方法]采用整群随机抽样抽取辽宁省37所不同类型医疗机构内科、外科和放疗科常见癌症出院病志,调查TNM分期执行情况。[结果]共收集有效调查表4514份,执行TNM分期比例为50.6%;外科、化疗科和放疗科执行比例分别为55.3%、49.3%和41.5%。在各级医疗机构中,以治疗肿瘤为主的医院TNM分期执行比例最高,为65.3%。常见癌种中乳腺癌的TNM分期执行情况比例最高,为63.9%。[结论]规范TNM分期是保障癌症规范诊治的前提和基础,辽宁省各级医疗机构TNM分期执行情况还有待进一步提高。
[Objective] To statistically analyze the implementation of TNM staging of patients with cancer inpatients and provide the basis for the work plan and quality control of relevant departments of health administration. [Methods] The randomized cluster sampling was used to extract the common hospital discharges from 37 different types of medical institutions in Liaoning Province and to investigate the implementation of TNM staging. [Results] A total of 4514 valid questionnaires were collected, and the TNM staging was 50.6%. The implementation rates of surgery, chemotherapy and radiotherapy were 55.3%, 49.3% and 41.5% respectively. Of the medical institutions at all levels, the most frequently used TNM staging in the treatment of cancer-based hospitals was 65.3%. The most common TNM staging of breast cancer in common cancer is 63.9%. [Conclusion] Regulating TNM staging is the prerequisite and basis of guaranteeing the diagnosis and treatment of cancer. The implementation of TNM staging by medical institutions at all levels in Liaoning Province needs to be further improved.