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肺癌住院手术患者临床特征与就诊模式的关系

赖玉田 田龙 樊骏 黄健 李双江 杜恒 车国卫

中国肺癌杂志Issue(7):457-461,5.
中国肺癌杂志Issue(7):457-461,5.DOI:10.3779/j.issn.1009-3419.2015.07.10

肺癌住院手术患者临床特征与就诊模式的关系

Relationship between Clinical Characteristics and Diagnostic Modes of Hospitalized Surgical Patients with Lung Cancer

赖玉田 1田龙 1樊骏 1黄健 1李双江 1杜恒 1车国卫1

作者信息

  • 1. 610041成都,四川大学华西医院胸外科
  • 折叠

摘要

Abstract

Background and objective Diagnostic modes may play an important role in treatments, but minimal in-formation is available regarding their relationship in patients with lung cancer. hTis study may contribute to decision making in clinics and public health centers.MethodshTe records of 505 hospitalized surgical patients with lung cancer at the Department of hToracic Surgery, West China Hospital of Sichuan University from January 2013 to December 2013 were retrospectively reviewed. hTe patients were categorized into physical examination group (PEG, 131 patients) and symptomatic group (SG, 374 patients). Surgical approach, pathological stage, and diagnostic mode were analyzed.Results Low-dose computed tomography (46.6%, 61/131) and computed radiography (51.1%, 67/131) were used as key diagnosis methods in 131 patients in PEG. hTe percentage of hospitalized surgical patients with lung cancer detected via physical examination in the city (35.4%, 80/229) was also signiifcantly higher than in the township (18.1%, 50/276) (P<0.001). hTe ratio of stage I lung cancer detected via physi-cal examination in the city (46.8%, 59/126) was signiifcantly higher than that in the township (27.3%, 33/121) (P=0.001). hTe proportion of patients who underwent VATS lobectomy was signiifcantly higher in PEG (73.3%, 96/131) than that in SG (44.4%, 166/374) (P<0.001), and the ratio of patients at stage I was signiifcantly higher in PEG (70.2%, 92/131) than that in SG (41.4%, 155/374) (P<0.001).Conclusion hTe use of physical examination is more prevalent in cities than that in towns, and its combination with mini-invasive surgical treatment contributes to early diagnosis of patients with lung cancer.

关键词

就诊模式/临床特征/肺肿瘤/城市和乡镇

Key words

Diagnostic modes/Clinical characteristics/Lung neoplasms/City and Township

引用本文复制引用

赖玉田,田龙,樊骏,黄健,李双江,杜恒,车国卫..肺癌住院手术患者临床特征与就诊模式的关系[J].中国肺癌杂志,2015,(7):457-461,5.

中国肺癌杂志

OA北大核心CSCDCSTPCDMEDLINE

1009-3419

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