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不同病理类型肾细胞癌临床分析 被引量:6

CLINICAL ANALYSIS OF RENAL CELL CARCINOMA OF DIFFERENT PATHOLOGICAL TYPES
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摘要 目的了解近年来不同病理类型肾细胞癌(RCC)发病的特点。方法回顾分析我科收治的1 068例RCC病人的临床资料,将2000年3月-2006年2月入院的325例病人作为A组,2006年3月-2012年2月入院的743例归为B组,比较两组病人临床资料的差异。结果 A组和B组居住地、高血压史、糖尿病史、输血史、吸烟饮酒史、主要临床表现、肿瘤大小、分级和分期差异有显著性(χ2=4.673~40.852,t=4.896,P<0.05)。A组与B组比较、男女性别比较、不同年龄比较,各病理类型RCC的比例差异均有显著性(χ2=13.900~25.524,P<0.05);不同病理类型RCC病人的偶发癌比例、血尿和包块等临床表现差异有显著性(χ2=8.987~26.355,P<0.05),而腰痛差异无显著性(P>0.05)。结论近年来RCC病人的发病特点发生变化,不同病理类型的RCC发病特点不同。 Objective To investigate the clinical features of renal cell carcinoma (RCC) onset in recent years. Methods A retrospective analysis was done for clinical data of 1 068 RCC patients treated in our hospital. Group A: 325 patients who were admitted during 2000.03 2006.02; Group B:743 patients admitted during 2006.03--2012.02. The differences of clinical data be- tween the two groups were compared. Results There were statistical differences between groups A and B with regard to place of residence, history of hypertension, diabetes, blood transfusion, smoking, alcohol drinking, major clinical manifestations, the size, stage and grade of tumor (x2 =4.673--40.852 ,t =4.896,P〈0.05). The differences between the two groups were also significant in terms of sex ratio, age, and different types of RCC (x2 = 13.900--25.524,P〈0.05), the differences were also noted in the ratio of incidental RCC, hematuria and mass (x2 =8.987--26.355,P〈0.05), but no significant differences on low back pain (P〈0.05). Conclusion The clinical features of RCC have been changed in recent years. The manifestations of different-type RCC are different.
出处 《青岛大学医学院学报》 CAS 2013年第4期351-353,共3页 Acta Academiae Medicinae Qingdao Universitatis
关键词 肾细胞 流行病学 病理学 临床 carcinoma, renal cell epidemiology pathology, clinical
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