2015年重庆市结直肠肛门癌发病与死亡现状分析

发布时间：2018-04-19 15:44

  本文选题：结直肠肛门癌 + 发病率　； 参考：《重庆医科大学学报》2017年11期

【摘要】：目的:了解重庆市结直肠肛门癌发病死亡现状,为开展结直肠肛门癌防治工作提供建议。方法:采用国际疾病分类与国际肿瘤学分类收集整理2015年重庆市11个肿瘤登记点报告的结直肠肛门癌(C18-C21)新发肿瘤病例资料。数据经SPSS19.0统计分析发病率、死亡率、中国人口标化发病率与死亡率、世界人口标化发病率与死亡率与构成比。不同性别、地区间发病率与死亡率的比较采用卡方检验,年龄别发病率与死亡率趋势分析采用趋势卡方检验,检验水准α=0.05。结果:2015年结直肠肛门癌发病率居所有恶性肿瘤的第2位,占所有报告恶性肿瘤的10.51%,发病率、ASIRC与ASIRW分别为28.32/105、17.57/105、19.32/105,发病率男性(32.80/105)高于女性(23.74/105),差异有统计学意义(χ~2=8.572,P=0.003)。截缩率为25.77/105,累积率为2.10%,累积危险度为2.08%。死亡率、ASMRC与ASMRW分别为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),城市高于农村(χ~2=6.378,P=0.012),截缩率为9.38/105,累积率与累积危险度分别为0.89%与0.88%。结直肠肛门癌发病率与死亡率均随年龄的增长而上升,趋势检验差异有统计学意义(χ~2值分别为14.533与11.398,P值分别为0.000和0.001),发病率40岁后呈快速上升趋势,死亡率50岁后呈快速上升。结论:重庆市结直肠肛门癌发病率与死亡率均较高,应重视结直肠肛门的三级预防工作。
[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.
【作者单位】： 重庆市疾病预防控制中心慢性病预防控制所;
【基金】：财政部国家卫生计生委公共卫生专项肿瘤随访登记资助项目(编号:财社[2015]82号)
【分类号】：R735.3
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本文编号：1773712