论文部分内容阅读
目的分析该院妇科住院患者的疾病构成变化趋势,以期为未来的诊室规划提供参考依据。方法选取2006年1月~2013年12月该院妇科28 994例出院患者的病例资料,对其进行统计和分析,并对患者的诊断结果和手术情况等变化进行分析。结果 2006~2013年该院妇科住院患者呈现逐年增加的趋势,但非恶性肿瘤居多,恶性肿瘤所占比率在2006~2008年逐年增加,2010~2013年又逐年下降;2006~2009年妇科出院患者排名前10位的疾病依次是子宫肌瘤、卵巢良性肿瘤、异位妊娠、子宫内膜异位症、宫颈恶性肿瘤、功血、妇科炎症、宫体恶性肿瘤、子宫脱垂和卵巢恶性肿瘤;2010~2013年妇科出院患者排名前10位的疾病依次是子宫肌瘤、异位妊娠、子宫内膜异位症、功血、宫颈恶性肿瘤、妇科炎症、卵巢良性肿瘤、卵巢恶性肿瘤、稽留流产和宫体恶性肿瘤;2006~2013年该院妇科住院患者的腹腔镜手术实施率显著增加,开腹手术实施率逐年下降,差异有统计学意义(P<0.05),阴式手术的实施率也呈缓慢上升的趋势。结论 2006~2013年该院妇科住院患者疾病构成比较稳定,腹腔镜手术以及阴式手术等微创手术正逐步替代传统的开腹手术成为妇科主流术式。医疗机构应当联合社会机构定期对广大妇女进行宣传及体检筛查,鼓励合理用药,以期降低妇科疾病的发病率。
Objective To analyze the changing trend of disease composition of gynecological inpatients in this hospital so as to provide a reference for the future clinic planning. Methods From January 2006 to December 2013, 28 994 cases of discharged patients in gynecological hospital were selected and analyzed. Statistics and analysis were carried out on them, and the changes of diagnosis and operation of the patients were analyzed. Results The number of gynecological inpatients showed a trend of increasing year by year from 2006 to 2013. However, the proportion of non-malignant tumors and malignant tumors increased year by year from 2006 to 2008 and declined year by year from 2010 to 2013. In 2006-2009, The top 10 diseases were uterine fibroids, benign ovarian tumors, ectopic pregnancy, endometriosis, cervical cancer, dysfunctional uterine bleeding, gynecological inflammation, uterine prolapse, uterine prolapse and ovarian cancer; The top 10 diseases of gynecological discharges in 2010-2013 were uterine fibroids, ectopic pregnancy, endometriosis, dysfunctional uterine bleeding, cervical cancer, gynecological inflammation, benign ovarian tumor, ovarian cancer, missed abortion And palace uterine malignancies. From 2006 to 2013, the implementation rate of laparoscopic surgery in gynecological inpatients was significantly increased, the implementation rate of laparotomy decreased year by year, the difference was statistically significant (P <0.05), the implementation rate of vaginal surgery Showing a slow upward trend. Conclusions From 2006 to 2013, the gynecological inpatients in this hospital are relatively stable in disease composition. Laparoscopic surgery and minimally invasive surgery such as vaginal surgery are gradually becoming the mainstream of gynecology instead of the traditional laparotomy. Medical institutions should, in conjunction with social institutions, conduct regular publicity and physical screening tests for the majority of women and encourage rational drug use in order to reduce the incidence of gynecological diseases.