首页|江苏省某三甲医院儿童青少年恶性肿瘤疾病谱特征研究

江苏省某三甲医院儿童青少年恶性肿瘤疾病谱特征研究

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目的 探讨江苏省某三级甲等综合医院2014年1月1日-2022年10月31日收治的儿童青少年恶性肿瘤的疾病谱,为政府卫生部门制定当地儿童青少年恶性肿瘤的防治政策提供数据支撑.方法 根据2014年1月1日-2022年10月31日期间84 958份出院患者电子病历中的诊断信息筛选初次诊断为儿童青少年恶性肿瘤患者209例,探究其疾病谱特征,进行统计学描述和分层分析.结果 209例儿童青少年肿瘤患者中男性100例(47.85%);女性109例(52.15%).疾病前3位分别是白血病100例(47.85%),甲状腺癌20例(9.57%),淋巴瘤18例(8.61%).儿童恶性肿瘤中血液系统疾病77例(66.96%),实体肿瘤38例(33.04%),青少年恶性肿瘤中血液系统疾病41例(42.7%),实体肿瘤55例(57.3%),儿童青少年肿瘤类型分布有差异(x2=11.52,P<0.001).脑瘤在男孩中发病人数更多(x2=4.01,P<0.045).结论 某院儿童青少年恶性肿瘤疾病谱与国内儿童青少年恶性肿瘤疾病谱相似,白血病均居于首位;青少年较儿童更易发生实体肿瘤,与既往研究结论一致.同时研究发现:脑瘤更倾向于在男孩中发生;甲状腺癌疾病顺位位居第二,需引起相关疾病防控部门重视.
Study on the Disease Spectrum Characteristics of Malignant Tumors in Children and Adolescents in a Tertiary Hospital in Jiangsu Province
Objectives This study aims to analyze the disease spectrum of malignant tumors in children and adolescents in a tertiary hospital in Jiangsu Province from January 1,2014 to October 31,2022,so as to provide data support for government health departments to formulate local policies for the prevention and treatment of malignant tumors in children and adolescents.Methods Based on the diagnostic information in 84,958 electronic medical records of discharged patients from January 1,2014 to October 31,2022,209 patients with initial diagnosis of malignant tumors in children and adolescents were screened.The disease spectrum characteristics were explored,than statistical description and stratified analysis were conducted.Results Among the 209 children and adolescent malignant tumor patients,100 were male(47.85%)and 109 were female(52.15%).The top three diseases were leukemia in 100 cases(47.85%),thyroid cancer in 20 cases(9.57%),and lymphoma in 18 cases(8.61%).Among childhood malignant tumors,there were 77 cases(66.96%)of hematological diseases and 38 cases(33.04%)of solid tumors.Among adolescent malignant tumors,there were 41 cases(42.7%)of hematological diseases and 55 cases(57.3%)of solid tumors.There were differences in the distribution of tumor types among children and adolescents(x2=11.52,P<0.001).Brain tumors were more common in boys(x2=4.01,P<0.045).Conclusions The disease spectrum of malignant tumors in children and adolescents in one tertiary hospital is similar to the disease spectrum of malignant tumors in domestic children and adolescents,with leukemia ranking first in both cases.Adolescents are more likely to develop solid tumors than children,which is consistent with the conclusions of previous studies.At the same time,research has found that brain tumors are more likely to occur in boys and thyroid cancer ranks second,which needs to be paid attention to by relevant disease prevention and control departments.

Pediatric cancerDisease spectrumDisease surveillance

周静、赵曼、宋慧、石函宁、李小芳

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江苏省苏北人民医院,江苏省,扬州市,225002

儿童肿瘤 疾病谱 疾病监测

江苏省苏北人民医院管理课题(2021)江苏省医院协会医院管理创新专项研究课题

YYGL202107JSYGY-1-2021-PJ134

2024

中国病案
中国医院协会

中国病案

CSTPCD
影响因子:1.197
ISSN:1672-2566
年,卷(期):2024.25(1)
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