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濟(jì)南市2011-2015年食管癌流行特征分析

發(fā)布時間:2018-05-27 20:21

  本文選題:濟(jì)南 + 食管癌; 參考:《中華腫瘤防治雜志》2017年03期


【摘要】:目的食管癌是一種常見的惡性腫瘤,山東省的食管癌發(fā)病率較高,明確食管癌的流行特征對食管癌早期預(yù)防和治療具有重要的意義。本研究通過分析濟(jì)南市2011-2015年食管癌發(fā)病情況及變化趨勢,為濟(jì)南市食管癌的防治提供科學(xué)依據(jù)。方法利用2011-2015年濟(jì)南市腫瘤報告系統(tǒng)的發(fā)病資料和濟(jì)南市人口資料,計算食管癌不同年度和年齡組的粗發(fā)病率及中國人口結(jié)構(gòu)標(biāo)化發(fā)病率(中標(biāo)發(fā)病率)。計算食管癌亞部位發(fā)病構(gòu)成及病理類型分布。結(jié)果 2011-2015年濟(jì)南市戶籍人口食管癌發(fā)病病例共9 248例,其中男7 212例,女2 036例。2011-2015年男女總的食管癌平均發(fā)病率為30.097/10萬,中標(biāo)率為22.055/10萬;男性食管癌平均發(fā)病率為47.093/10萬,中標(biāo)率為34.692/10萬;女性食管癌平均發(fā)病率為13.209/10萬,中標(biāo)率為9.291/10萬。男女總的食管癌中標(biāo)發(fā)病率從2011-2013年逐年上升,2013年發(fā)病率最高,為23.945/10萬,隨后發(fā)病率開始下降,2015年發(fā)病率為22.233/10萬。在男性和女性中,均是75~79歲年齡組發(fā)病率最高,發(fā)病率分別為209.028/10萬和82.064/10萬。食管癌亞部位分布以食管中段為主,共3 335例,占全部發(fā)病的36.06%。食管癌病理類型分布中,鱗癌共4 385例,占47.42%;腺癌共1 904例,占20.59%。結(jié)論近5年食管癌發(fā)病率仍較高,2011-2013年食管癌中標(biāo)發(fā)病率逐年上升,隨后發(fā)病率開始下降,75~79歲年齡組發(fā)病率最高,應(yīng)針對重點人群繼續(xù)加強(qiáng)食管癌防治工作。
[Abstract]:Objective esophageal cancer is a common malignant tumor, the incidence of esophageal cancer in Shandong Province is high, it is important to identify the epidemic characteristics of esophageal cancer for early prevention and treatment of esophageal cancer. By analyzing the incidence and trend of esophageal cancer in Jinan from 2011 to 2015, this study provides a scientific basis for the prevention and treatment of esophageal cancer in Jinan. Methods the incidence rate of esophageal cancer in different years and age groups and the standard incidence rate of population structure in China were calculated by using the incidence data of tumor reporting system and population data of Jinan city from 2011 to 2015. The pathogenesis and pathological type distribution of esophageal carcinoma were calculated. Results from 2011 to 2015, there were 9 248 cases of esophageal cancer in Jinan registered population, including 7 212 males and 2 036 females. The average incidence of esophageal cancer was 30. 097 / 10 million in 2011-2015, the winning rate was 22. 055 / 100 million, and the average incidence of esophageal cancer in men was 47. 0933 / 100 million. The rate of winning bid was 34.692 / 100 thousand, and the average incidence rate of female esophageal cancer was 13.209 / 100,000, and the rate of winning bid was 92.91 / 100 thousand. The overall incidence of esophageal cancer in men and women increased year by year from 2011-2013 to 2013, the highest incidence rate of 23.945 / 100 million in 2013, then the incidence began to decline, the incidence rate in 2015 was 22.233 / 100,000. In both men and women, the highest incidence was in the 750-79 age group, which was 209.028 / 100 and 8206,400 / 100, respectively. The subregion of esophageal cancer was mainly located in the middle part of esophagus (3 335 cases), accounting for 36.06% of the total incidence. There were 4 385 cases of squamous cell carcinoma (47.42%) and 1 904 cases of adenocarcinoma (20.5959%). Conclusion the incidence of esophageal cancer in recent five years is still high. The incidence of esophageal cancer in the year 2011-2013 increased year by year, and then the incidence began to decline. The incidence of esophageal cancer in the age group of 75 ~ 79 years old was the highest. The prevention and treatment of esophageal cancer should be strengthened for the key population.
【作者單位】: 濟(jì)南市疾病預(yù)防控制中心慢性與非傳染性疾病防治所;山東大學(xué)附屬山東省腫瘤醫(yī)院科教部;
【基金】:山東省醫(yī)藥衛(wèi)生科技發(fā)展計劃(2014WS0210)
【分類號】:R735.1
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本文編號:1943614

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