新疆地区甲状腺癌临床流行病学特征

2015-02-20黄风玲刘攀毛睿杨颖才层包永星新疆医科大学第一附属医院乌鲁木齐830054

山东医药 2015年37期

黄风玲，刘攀，毛睿，杨颖，才层，包永星(新疆医科大学第一附属医院，乌鲁木齐830054)

新疆地区甲状腺癌临床流行病学特征

黄风玲，刘攀，毛睿，杨颖，才层，包永星
(新疆医科大学第一附属医院，乌鲁木齐830054)

摘要:目的探讨1 344例甲状腺癌临床流行病学特征，为新疆地区甲状腺癌的早期防治提供重要参考。方法回顾性分析2003年1～2013年12月1 344例甲状腺癌患者的临床病历资料，提取相关流行病学信息进行统计分析。结果1 344例甲状腺癌患者中，总体发病趋势逐年增加;男女性别比例为1∶2.7，男女发病比例未见民族差异;汉族、维吾尔族和哈萨克族的病理类型及发病年龄高峰存在差异(P均＜0.05);北疆发病例数约是南疆的两倍(P＜0.05)。结论近十年间，新疆地区甲状腺癌总体发病趋势增加，男性发病率低于女性，病理类型及发病年龄存在民族差异，北疆发病率高于南疆。

关键词:甲状腺肿瘤;流行病学;临床资料;新疆

Clinical epidemiological features of thyroid cancer in Xinjiang

HUANG Feng-ling，LIU Pan，MAO Rui，YANG Ying，CAI Ceng，BAO Yong-xing
(The First Affiliated Hospital of Xinjiangmedical University，Urumqi 830054，China)

Abstract:Objective To investigate the clinical epidemiological characteristics of 1344 cases of thyroid cancer，providing an important reference for the early prevention and treatment of thyroid cancer in the Xinjiang region.Methods The clinicaldata of 1 344 patients with thyroid cancer from January 2003 todecember 2013 were retrospectively analyzed，and we extracted the relevant epidemiological information for statistical analysis.Resultsduring 1 344 patients，the overall incidence increased year by year; the sex ratio was 1: 2.7，and nodifference was found in the incidence of ethnic proportions ofmen and women; but the ethnicdifferences existed in pathological type and peak age of onset(all P＜0.05).The number of cases in northern Xinjiang was about twice of that in southern Xinjiang.Conclusions For nearly 10 years，the overall incidence trend of thyroid cancer is increased in Xinjiang region，the incidence of themale is lower than that of the female，and the pathological type and onset age have ethnicdifferences.Meanwhile，the incidence of northern Xinjiang is higher than that of the southern Xinjiang.

Key words:thyroid neoplasms; epidemiology; clinicaldata;Xinjiang

众所周知，甲状腺癌是内分泌系统最常见的恶性肿瘤，发病率约占全身恶性肿瘤的1.5%［1］。尤其近10～20年，甲状腺癌的发病率在全球范围内呈现持续上升趋势，并且发病年龄趋于年轻化［2］。相关文献报道，甲状腺癌呈现较明显的地域性及民族性差异［3］。本文中，我们收集了2003年1月～2013 年12月在我院初次住院的甲状腺癌病历资料，并进行分析比较，探讨新疆地区甲状腺癌的流行病学特征，为其防治提供重要参考依据。