【摘要】 目的分析2007年-2017年某院妇科恶性肿瘤的构成分布及变化趋势,分析各类恶性肿瘤的病理类型分布,为该地区妇科恶性肿瘤性疾病的防治提供有效建议。方法分别对某院2007年-2017年抽取妇科恶性肿瘤病例共4032例,按解剖部位、肿瘤来源性质进行分类,使用Cox趋势检验2007年-2017年妇科恶性肿瘤总体变化趋势及妇科各个常见部位原发恶性肿瘤的发病趋势,采用秩和检验分别分析子宫颈、子宫内膜及卵巢恶性肿瘤的三种主要来源的细胞学类型的差异性。结果经历10年时间妇科恶性肿瘤的发病人数整体呈上升趋势,2017年的发病人数为2007年5.4倍,构成比前3位为子宫颈恶性肿瘤、子宫恶性肿瘤和卵巢恶性肿瘤,分别占比依次为80.24%、12.20%、4.15%。滋养细胞肿瘤和输卵管恶性肿瘤呈现动态变化,外阴及阴道恶性肿瘤例数明显增高。结论 10年间妇科恶性肿瘤的发病人数急剧上升,种类分布范围广。子宫颈、子宫和卵巢仍然是妇科恶性肿瘤的主要来源。有计划广泛开展防治妇科"三癌"的宣传教育,推广宫颈癌疫苗接种,对降低肿瘤发生率有积极意义。更多还原

【Abstract】 Objective Study the distribution and changing trend of gynecologic malignant tumors, so as to investigate the attributes combining with environmental and dietary factors. Gynecological malignant tumors precaution should be based on the evidence of data analysis in this region. Methods Select gynecological malignant tumor cases from 2007 to 2017 individually. The sample is divided into groups according to anatomic site, tumor origin and tumor character. Statistical data is counted from each group so as to describe the distribution and trend of major gynecological malignant tumors from 2007 to 2017 respectively. Results The incidence of gynecological malignant tumors showed an upward trend during 11 year period. The incidence of 2017 is 5.4 times of 2007 year.The composition of the top 3 for cervical cancer, uterine cancer, ovarian cancer, accounting for 80.24%, 12.20%,4.15%. There is a dynamic change among trophoblastic tumor, vagina cancer and fallopian tube cancer. There is a significant growth in vulvar vagina malignant tumor. Conclusion The incidence of gynecological malignant tumors increased sharply in the last 10 years, and the range of types was wide. Cervix, uterus and ovary are still the main source of gynecological malignant tumors. There are plans to carry out publicity and education on the prevention and treatment of gynecological "three cancers" and to promote vaccination against cervical cancer, which is of positive significance in reducing the incidence of cancer.更多还原