本文選題：鼻咽癌　切入點：廣東　出處：《實用醫(yī)學(xué)雜志》2016年12期 　論文類型：期刊論文

【摘要】：目的:分析廣東省鼻咽癌早期發(fā)現(xiàn)定量現(xiàn)況及誤診情況。方法:收集近期我院放療科鼻咽癌病區(qū)收治經(jīng)病理活檢確診的初治鼻咽癌患者50例,分析患者主訴癥征類別及從發(fā)現(xiàn)至鼻咽癌確診的間隔時間,同時探討患者首診被誤診情況。采用Spearmans秩相關(guān)分析探討癥征發(fā)現(xiàn)時間與分期相關(guān)性及誤診醫(yī)院與誤診率相關(guān)性,采用方差分析探討不同癥征持續(xù)時間與腫瘤分期間的關(guān)系。結(jié)果:Spearmans相關(guān)分析結(jié)果顯示,首發(fā)癥征從發(fā)生到鼻咽癌確診間隔時間(AT)與p TNM分期成正相關(guān)(P0.05)。癥征發(fā)生1個月內(nèi)就診患者平均分期為Ⅱ期,6個月內(nèi)升至超過Ⅲ期,12個月后則至Ⅳ期。首診被誤診總體概率為12%,誤診率與醫(yī)院級別相關(guān)(P0.05)。結(jié)論:廣東鼻咽癌早期發(fā)現(xiàn)狀況不容樂觀,鎮(zhèn)/村等基層醫(yī)療場所鼻咽癌首診誤診現(xiàn)象較為嚴峻,鼻咽癌二級預(yù)防宣教并于基層醫(yī)療場所開展鼻咽癌診療相關(guān)培訓(xùn)為勢在必行之舉。
[Abstract]:Objective: to analyze the present situation of early diagnosis and misdiagnosis of nasopharyngeal carcinoma (NPC) in Guangdong Province. The types of main complaint symptoms and the interval between discovery and diagnosis of nasopharyngeal carcinoma were analyzed. Spearmans rank correlation analysis was used to investigate the correlation between the finding time of symptoms and stages, and the correlation between misdiagnosis hospital and misdiagnosis rate. Variance analysis was used to study the relationship between the duration of different symptoms and tumor stages. The first symptom was positively correlated with p TNM staging from onset to diagnosis of nasopharyngeal carcinoma. Within one month of onset of the symptom, the average staging of the patient was stage 鈪，

本文編號：1561660