宣威地区与非宣威地区肺癌患者临床流行病学特征及病理类型特点分析

目的:分析宣威地区与非宣威地区的肺癌临床流行病学与病理特征。方法:以云南省肿瘤医院（昆明医科大学第三附属医院）2015年3月至2015年5月手术治疗的肺癌患者为研究对象，共295例，收集患者相关信息。将其分为宣威地区、非宣威地区进行统计。对患者的临床资料进行回顾性分析，包含病理类型、年龄、性别、吸烟史等。结果:宣威地区、非宣威地区肺癌患者男女比例为1.19∶1和1.69∶1。宣威地区患者平均年龄为［53.41±8.74(34~85)］岁，中位年龄53岁。非宣威地区肺癌患者平均年龄为［58.68±8.63(38~78)］岁，中位年龄59岁。宣威地区肺癌高发年龄为40~59岁段。宣威地区I期肺癌患者占比、T1期肺癌患者占比、N0期肺癌患者占比均高于非宣威地区。宣威地区男性腺癌鳞癌比远高于非宣威地区，差异有显著统计学意义。结论:宣威地区女性肺癌发病率更高，发病年龄更趋年轻化，腺癌比例高，吸烟与宣威地区男性腺癌高发关系不密切。

Analysis of clinical epidemiological characteristics and pathological types of lung cancer in Xuanwei area and None-Xuanwei area

Objective:To analyze the clinical epidemiology and pathological features of lung cancer in Xuanwei area and None-Xuanwei area.Methods:A total of 295 patients with lung cancer who underwent surgery from March 2015 to May 2015 in Yunnan Cancer Hospital(the Third Affiliated Hospital of Kunming Medical University） were selected to collect information.The research area was divided into Xuanwei area and None-Xuanwei area.Patient clinical data were retrospectively analyzed，including pathological type，age，gender and smoking history.Results:The male to female ratio of lung cancer patients in Xuanwei area and None-Xuanwei area was 1.19∶1 and 1.69∶1，respectively.The average age of lung cancer patients in Xuanwei area was 53.41±8.74(34~85） years old，and the median age of lung cancer patients in this area was 53 years.The average age of lung cancer patients in None-Xuanwei area was 58.68±8.63(38~78） years old，and the median age of lung cancer patients in this area was 59 years old.The onset age of lung cancer in Xuanwei area was younger，at 40~59 years.The proportions of lung cancer patients in stage I，stage T1，and stage N0 in Xuanwei area were higher than those in None-Xuanwei area.The ratio of adenocarcinoma and squamous cell carcinoma in male in Xuanwei area was significantly higher than that in None-Xuanwei area.Conclusion:The incidence of lung cancer was higher in women in Xuanwei area，and the incidence age became younger.In addition，the proportion of adenocarcinoma was high.Smoking and high incidence of adenocarcinoma in male was not closely correlated.