The Value Study Of First Diagnosis-Related Factors In Patients With Ovarian Cancer In Early Diagnosis

Objective:Through the retrospective analysis of related factors to the first diagnosis of ovarian cancer patients, to explore factors that delay in diagnosis of ovarian cancer, and the corresponding relation of delayed diagnosis and ovarian tumor staging; statistics the syndrome types distribution of traditional Chinese medicine of ovarian cancer patients. Thus, offer a reference to clinical ovarian cancer early detection and early treatment.Method:74cases of ovarian cancer patients after surgery from May2012to October2013, the patients from the First Affiliated Hospital of Heilongjiang University of Chinese Traditional Medicine gynecology clinic and the Third Affiliated Hospital gynecology ward. By way of questionnaire to analysis first diagnosed related factors, physical surveys, general information on ovarian cancer, the first onset of clinical manifestations, pathological features, its treatment of physical medicine and influencing factors.Results:1. General data obtained from the patients:the study patients aged20to74years, the incidence rate of45to55years is41.9%; live in the village and non-provincial capital ratio28.4%,51.4%respectively; Literacy for the following level of middle school accounted for62.1%; New farmers and social insurance proportion is52.7%and23%respectively;and at their own expense accounts for2.7%; Married accounted for78.4%, unmarried, divorced or widowed accounted for21.6%; Clinic information family maximum recommended25.6%; New medical institutions of provincial general hospital was64%, including age, health care for the choice of medical units P>0.05, source of medical expenses, culture degree and the marriage condition P<0.05; The misdiagnosis probability is44.6%;Shortest treatment time is0days, up to1825days, the incidence of delayed diagnosis was21.6%(16cases); Age, place of residence in the influence factors of delay in diagnosis, medical institutions, cultural degree, cost source, medical care, marriage condition and see a doctor to have statistical significance (P<0.05).2. Derived from the patient’s disease information:probability of ovarian cancer patients starting symptoms from high to low in turn for drops abdominal distension, abdominal mass, abdominal pain, irregular vaginal bleeding, abdominal cavity effusion, bladder irritation symptoms and gastrointestinal symptoms, swollen lymph nodes, anemia, and emaciation. First option the pathological types of ovarian epithelial carcinoma in66cases (89.2%) and sex cord-stromal tumor in2cases (2.7%),6cases of ovarian germ cell tumor (8.1%). The high risk of bilateral ovarian cancer for41cases (55.4%), the incidence of left and right is25.7%and25.7%respectively. Relatively concentrated in phase III clinical stage, the investigation on the number of phase III> IV period> II period> I period, III period the largest, I period at least. The early onset of parts on the unilateral ovarian cancer than, higher probability for the left side I phase proportion (12.2%), on the right side II period (6.8%), and bilateral much late, bilateral III period accounted for41.9%.3. The influence from the stage is concluded that the diagnosis of patients with delayed divided into clinic delay and diagnosis delay situation.16(21.6%) patients experienced diagnostic delays, average delay378.18days.Different age, cultural level, place of residence, sources and health care cost of ovarian cancer patients delay difference had no statistical significance (P>0.05); Marital status difference was statistically significant (P<0.05). Different age, culture level, marital status, whether for ovarian cancer patients diagnosed delays had no statistical significance (P>0.05), misdiagnosis and medical institutions was statistically significant (P<0.05). Diagnosis delay survey, and the clinical stages of patients with early stage ovarian cancer diagnosis delay in3cases,13cases of late diagnosis delay. Ovarian cancer patients with active treatment of27cases (36.5%), passive clinic47cases (63.5%); Patients with early stage ovarian cancer clinic20 cases, passive clinic9cases; Active clinic7patients with late, passive clinic38cases.4. From the study of traditional Chinese medicine syndrome types:qizhi stagnation infection is higher, the incidence was22people (accounting for29.7%of those surveyed), blood stasis type29people (accounting for39.2%of those surveyed); followed by heat toxin type13people (representing17.6%of those surveyed),phlegm type10people (representing13.5per cent of those surveyed).Conclusion:1. The medical behavior in patients with ovarian cancer have statistically significant influence factors include age, culture level, expense source, marriage condition, family support, clinic will, etc.2. Ovarian cancer first diagnosed concentrated in the age between45and55years; Starting symptoms following abdominal pain, abdominal distension, abdominal mass, irregular vaginal bleeding, Risk probability bilateral> the left> the right side; The syndrome types distribution of traditional Chinese medicine case blood stasis type> qizhi stagnation> heat toxin type> phlegm type.3. Treatment delay time was positively correlated with ovarian cancer clinical staging; Location of ovarian cancer early onset than unilateral, bilateral more late.