本文選題：肺癌　切入點：臨床流行病學(xué)　出處：《四川大學(xué)學(xué)報(醫(yī)學(xué)版)》2017年03期

【摘要】：目的歸納總結(jié)原發(fā)性肺癌患者的臨床特點及流行病學(xué)特征,并了解其診斷、治療現(xiàn)狀。方法回顧性分析2008~2014年于四川大學(xué)華西醫(yī)院確診的6 458例原發(fā)性肺癌患者臨床病理資料,分析病理分型與年齡、性別、TNM分期等臨床特征的相關(guān)性,并歸納總結(jié)其診斷、治療狀況。結(jié)果 6 458例原發(fā)性肺癌患者中男4 291例、女2 167例;患者平均年齡為59.22歲,其中40歲以下者占5.1%(335例),50~70歲在各病理類型中均為高發(fā)年齡段,約占所有肺癌人群的61.1%;首診時Ⅰ期患者僅10.5%(675例),絕大部分患者在首診時即為Ⅳ期(53.3%)。最常見的病理類型為腺癌(3 523例,54.44%),其次為鱗癌(1 637例,25.35%)及小細胞肺癌(916例,14.18%)。在鱗癌、腺癌、小細胞癌及其他類型肺癌中,最主要的診斷方式均為纖支鏡及手術(shù)等獲取的標(biāo)本進行病理學(xué)檢查診斷;最主要的治療手段為手術(shù)及化療。結(jié)論近七年于我院就診的原發(fā)性肺癌患者仍以中老年男性為主,腺癌居多;手術(shù)及纖支鏡獲取的標(biāo)本進行病理學(xué)檢查是最主要的診斷方式,而手術(shù)及化療則是最主要的治療手段。
[Abstract]:Objective to summarize the clinical and epidemiological characteristics of patients with primary lung cancer, and to understand its diagnosis and treatment status. Methods the clinicopathological data of 6 458 cases of primary lung cancer diagnosed in Huaxi Hospital of Sichuan University from 2008 to 2014 were retrospectively analyzed. The correlation between pathological classification and age, sex and TNM staging was analyzed, and its diagnosis and treatment were summarized. Results there were 4 291 males and 2 167 females in 6 458 patients with primary lung cancer, the average age of the patients was 59.22 years old. Among them, 335 patients under 40 years old accounted for 335 patients with 50 or 70 years of age, all of whom were of high incidence in all pathological types. It accounted for about 61.1% of all lung cancer patients; at the first diagnosis, only 10.555 cases of stage I patients were involved in 675 cases, and most of the patients were stage 鈪，

本文編號：1659160