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[目的]通过对辽宁省2006～2008年各市各类型医院恶性肿瘤诊断依据的分析,了解辽宁省肿瘤病人的规范化诊断情况。[方法]采用整群二阶段随机抽样,抽取不同医院不同科系中常见10种癌症的病志,填写调查表,按照病理学、理化、影像学三种诊断依据,进行频数分布的描述及卡方检验。[结果]共收集有效调查表4514张,病理、理化和影像学诊断率分别为79.83%、21.66%和41.29%。69.08%的病人有两种以上诊断依据。从病理诊断率和多学科综合诊断依据看:A类医院高于B、C类医院;城市医院高于农村医院;学校附属医院和非学校附属医院无差别;三级医院高于二级医院。不同地区医院间、不同科系间、不同病种间肿瘤诊断依据的分布有明显差异。[结论]病理学诊断是辽宁省恶性肿瘤的主要诊断依据。理化、影像学诊断是重要的辅助性诊断依据。病理学诊断率和多学科综合诊断率还有待进一步提高。
[Objective] Based on the analysis of the basis of diagnosis of malignant tumors of various types of hospitals in Liaoning Province from 2006 to 2008, the normalized diagnosis of cancer patients in Liaoning Province was investigated. [Methods] A cluster of two-stage random sampling was used to collect the common disease records of 10 kinds of cancers in different departments of different hospitals. Fill in the questionnaire, according to the diagnosis of pathology, physiology and physiology, imaging three kinds of description of frequency distribution and card Party test. [Results] A total of 4514 valid questionnaires were collected, and the diagnostic rates of pathology, physiochemical and imaging were 79.83%, 21.66% and 41.29% respectively. 69.08% of patients have more than two kinds of diagnosis basis. According to the pathological diagnosis rate and multidisciplinary diagnosis basis, Class A hospitals are higher than Class B and C hospitals; urban hospitals are higher than rural hospitals; there is no difference between school affiliated hospitals and non-school affiliated hospitals; and tertiary hospitals are higher than second-class hospitals. There were significant differences in the basis for diagnosis of tumors in different regions and between different departments and between different diseases. [Conclusion] Pathological diagnosis is the main diagnosis basis of malignant tumors in Liaoning Province. Physicochemical and imaging diagnosis is an important basis for diagnosis. Pathological diagnosis rate and multidisciplinary comprehensive diagnosis rate needs to be further improved.