本文選題：結(jié)直腸肛門癌 + 發(fā)病率��； 參考：《重慶醫(yī)科大學(xué)學(xué)報(bào)》2017年11期

【摘要】：目的:了解重慶市結(jié)直腸肛門癌發(fā)病死亡現(xiàn)狀,為開展結(jié)直腸肛門癌防治工作提供建議。方法:采用國(guó)際疾病分類與國(guó)際腫瘤學(xué)分類收集整理2015年重慶市11個(gè)腫瘤登記點(diǎn)報(bào)告的結(jié)直腸肛門癌(C18-C21)新發(fā)腫瘤病例資料。數(shù)據(jù)經(jīng)SPSS19.0統(tǒng)計(jì)分析發(fā)病率、死亡率、中國(guó)人口標(biāo)化發(fā)病率與死亡率、世界人口標(biāo)化發(fā)病率與死亡率與構(gòu)成比。不同性別、地區(qū)間發(fā)病率與死亡率的比較采用卡方檢驗(yàn),年齡別發(fā)病率與死亡率趨勢(shì)分析采用趨勢(shì)卡方檢驗(yàn),檢驗(yàn)水準(zhǔn)α=0.05。結(jié)果:2015年結(jié)直腸肛門癌發(fā)病率居所有惡性腫瘤的第2位,占所有報(bào)告惡性腫瘤的10.51%,發(fā)病率、ASIRC與ASIRW分別為28.32/105、17.57/105、19.32/105,發(fā)病率男性(32.80/105)高于女性(23.74/105),差異有統(tǒng)計(jì)學(xué)意義(χ~2=8.572,P=0.003)。截縮率為25.77/105,累積率為2.10%,累積危險(xiǎn)度為2.08%。死亡率、ASMRC與ASMRW分別為13.95/105、8.02/105、9.33/105,死亡率男性高于女性(χ~2=9.410,P=0.002),城市高于農(nóng)村(χ~2=6.378,P=0.012),截縮率為9.38/105,累積率與累積危險(xiǎn)度分別為0.89%與0.88%。結(jié)直腸肛門癌發(fā)病率與死亡率均隨年齡的增長(zhǎng)而上升,趨勢(shì)檢驗(yàn)差異有統(tǒng)計(jì)學(xué)意義(χ~2值分別為14.533與11.398,P值分別為0.000和0.001),發(fā)病率40歲后呈快速上升趨勢(shì),死亡率50歲后呈快速上升。結(jié)論:重慶市結(jié)直腸肛門癌發(fā)病率與死亡率均較高,應(yīng)重視結(jié)直腸肛門的三級(jí)預(yù)防工作。
[Abstract]:Objective: to investigate the incidence and death status of colorectal anal carcinoma in Chongqing, and to provide advice for prevention and treatment of colorectal anal cancer.Methods: according to the international classification of diseases and the classification of oncology, the data of new cases of colorectal anal carcinoma (C18-C21) reported from 11 tumor registration sites in Chongqing in 2015 were collected and analyzed.The data were analyzed by SPSS19.0 statistical analysis of morbidity, mortality, Chinese population standardized morbidity and mortality, world population standardized morbidity and mortality and composition ratio.Chi-square test was used to compare the incidence and mortality among different sexes, and trend chi-square test was used to analyze the trend of age-specific morbidity and mortality.Results: in 2015, the incidence of colorectal anal cancer ranked second among all malignant tumors, accounting for 10.51% of all reported malignant tumors. The incidence rates of ASIRC and ASIRW were 28.32 / 105 and 17.57 / 105 / 19.32 / 105, respectively. The incidence of colorectal anal cancer in men was higher than that in women (23.74 / 105), and the difference was statistically significant (蠂 ~ 2 / 28.572P = 0.003).The truncation rate is 25.77 / 105, the cumulative rate is 2.10 and the cumulative risk is 2.08.The mortality rates of ASMRC and ASMRW were 13.95 / 105 / 8.02 / 9.33 / 105, respectively. The mortality rate of males was higher than that of females (蠂 ~ (2) 9.410 ~ (10)), and that of urban was higher than that of rural areas (蠂 ~ (2 / 2) 6.378p ~ (0.012)), the truncation rate was 9.38 / 10 ~ (5), the cumulative rate and cumulative risk were 0.89% and 0.88%, respectively.The incidence and mortality rate of colorectal anal carcinoma increased with the increase of age. The trend test showed significant difference (蠂 ~ 2 = 14.533 and 11.398 P = 0.000 and 0.001, respectively). The incidence rate increased rapidly after 40 years old, and the mortality rate increased rapidly after 50 years old.Conclusion: the morbidity and mortality of colorectal anal carcinoma in Chongqing are high, so we should pay attention to the three-level prevention of colorectal anus.
【作者單位】： 重慶市疾病預(yù)防控制中心慢性病預(yù)防控制所;
【基金】：財(cái)政部國(guó)家衛(wèi)生計(jì)生委公共衛(wèi)生專項(xiàng)腫瘤隨訪登記資助項(xiàng)目(編號(hào):財(cái)社[2015]82號(hào))
【分類號(hào)】：R735.3
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本文編號(hào)：1773712