English  |  正體中文  |  简体中文  |  全文筆數/總筆數 : 45065/58241 (77%)
造訪人次 : 2248535      線上人數 : 346
RC Version 7.0 © Powered By DSPACE, MIT. Enhanced by NTU Library IR team.
搜尋範圍 查詢小技巧：
  • 您可在西文檢索詞彙前後加上"雙引號"，以獲取較精準的檢索結果
  • 若欲以作者姓名搜尋，建議至進階搜尋限定作者欄位，可獲得較完整資料
    •  進階搜尋


    請使用永久網址來引用或連結此文件: http://libir.tmu.edu.tw/handle/987654321/52072


    題名: 輸尿管結石與子宮體惡性腫瘤相關性之研究
    Relationship between Ureteral Calculus and Uterine Cancer
    作者: 郭嘉駿
    Kuo, Chia-Chun
    關鍵詞: 輸尿管結石;子宮體惡性腫瘤;發炎;ureteral calculus;uterine cancer;inflammation
    日期: 2014-07-07
    上傳時間: 2018-10-22 15:20:36 (UTC+8)
    摘要: 背景：根據統計尿路結石的發生率逐年上升，帶來急性疼痛及反覆性發作；近年來的研究顯示慢性發炎與癌症相關性密不可分，而骨盆腔內子宮體惡性腫瘤的發生率及死亡率持續增加，故本研究了解輸尿管結石與子宮體癌症關聯。
    目的：探討罹患輸尿管結石的女性病患與後續子宮體惡性腫瘤相關性。
    方法：本研究採回溯性世代研究，經由國家研究院全民資料庫中2000年承保抽樣歸人檔(LHID2000)，分析2001年1月1日至2004年12月31日期間診斷為輸尿管結石的女性病患共有5469位，抽樣取得27345位對照組，每一位病患追蹤五年，以評估罹患輸尿管結石後是否與發生子宮體癌症有相關性。
    結果：本研究中每十萬人的子宮體癌年發生率在輸尿管結石的實驗組為7.40 (95% 信賴區間為4.70~11.12)，在對照組則為3.38(95% 信賴區間為2.52~4.45)；經由stratified Cox proportional regression運算得知，患有輸尿管結石的病患比起對照組有2.21倍(95% 信賴區間為1.29~3.80，p < 0.01) 罹患子宮體癌的風險。輸尿管結石、肥胖、子宮內膜囊狀增生及高血脂症均為罹患子宮體惡性腫瘤共病因子
    結論：經由資料庫的分析輸尿管結石的女性病患，追蹤發現罹患子宮體惡性腫瘤的風險較沒有尿路結石的群體高。

    Background:
    The incidence of uterine cancer increases recently in the developed countries. We investigate the relationship between ureteral calculus and uterine cancer in Taiwan.
    Objective:
    To evaluate the relationship between ureteral calculus and uterine cancer.
    Methods:
    We used the data sourced from the “Longitudinal Health Insurance Database (LHID2000).”As to the study group, we first identified 5,469 female patients who had received the first-time diagnosis of ureteral calculus from January 1, 2001 to December 31, 2004. This study also used 27,345 female selected subjects as controls. Each subject in this study was individually tracked for a five-year period from their index date to identify those who had subsequently received a diagnosis of uterine cancer during the follow-up period. We performed stratified Cox proportional hazard regressions to evaluate the association between UC and subsequent uterine cancer during the five-year follow-up period.
    Results:
    Of the study sample of 32,814 patients, 62 patients (0.2%) had uterine cancer during the five-year follow-up period: 19 from the study group (0.4% of patients with UC) and 43 from the comparison group (0.2% of patients without UC). The incidence rate of uterine cancer per 100,000 person-years was 7.40 (95% CI=4.70-11.12) and 3.38 (95% CI=2.52-4.45) for patients with and without UC, respectively. The stratified Cox proportional analysis (stratified by age group, urbanization level, and the year of index date) suggested that the HR of uterine cancer during the five-year follow-up period for patients with UC was 2.21 (95% CI=1.29-3.80, p<0.01) than for those without UC.
    Conclusion:
    The risk of uterine cancer is higher in the patient who have been previously diagnosed with ureteral calculus.
    描述: 碩士
    委員-陳欽賢
    委員-郭乃文
    指導教授-林恆慶
    資料類型: thesis
    顯示於類別:[醫務管理學系暨研究所] 博碩士論文

    文件中的檔案:

    檔案 描述 大小格式瀏覽次數
    index.html0KbHTML85檢視/開啟


    檢視Licence

    在TMUIR中所有的資料項目都受到原著作權保護.

    TAIR相關文章

    著作權聲明 Copyright Notice

    • 本平台之數位內容為臺北醫學大學所收錄之機構典藏，包含體系內各式學術著作及學術產出。秉持開放取用的精神，提供使用者進行資料檢索、下載與取用，惟仍請適度、合理地於合法範圍內使用本平台之內容，以尊重著作權人之權益。商業上之利用，請先取得著作權人之授權。

      The digital content on this platform is part of the Taipei Medical University Institutional Repository, featuring various academic works and outputs from the institution. It offers free access to academic research and public education for non-commercial use. Please use the content appropriately and within legal boundaries to respect copyright owners' rights. For commercial use, please obtain prior authorization from the copyright owner.

    • 瀏覽或使用本平台，視同使用者已完全接受並瞭解聲明中所有規範、中華民國相關法規、一切國際網路規定及使用慣例，並不得為任何不法目的使用TMUIR。

      By utilising the platform, users are deemed to have fully accepted and understood all the regulations set out in the statement, relevant laws of the Republic of China, all international internet regulations, and usage conventions. Furthermore, users must not use TMUIR for any illegal purposes.

    • 本平台盡力防止侵害著作權人之權益。若發現本平台之數位內容有侵害著作權人權益情事者，煩請權利人通知本平台維護人員([email protected])，將立即採取移除該數位著作等補救措施。

      TMUIR is made to protect the interests of copyright owners. If you believe that any material on the website infringes copyright, please contact our staff([email protected]). We will remove the work from the repository.

    Back to Top
    DSpace Software Copyright © 2002-2004  MIT &  Hewlett-Packard  /   Enhanced by   NTU Library IR team Copyright ©   - 回饋