济南市2011-2015年食管癌流行特征分析

发布时间：2018-05-27 20:21

  本文选题：济南 + 食管癌　； 参考：《中华肿瘤防治杂志》2017年03期

【摘要】：目的食管癌是一种常见的恶性肿瘤,山东省的食管癌发病率较高,明确食管癌的流行特征对食管癌早期预防和治疗具有重要的意义。本研究通过分析济南市2011-2015年食管癌发病情况及变化趋势,为济南市食管癌的防治提供科学依据。方法利用2011-2015年济南市肿瘤报告系统的发病资料和济南市人口资料,计算食管癌不同年度和年龄组的粗发病率及中国人口结构标化发病率(中标发病率)。计算食管癌亚部位发病构成及病理类型分布。结果 2011-2015年济南市户籍人口食管癌发病病例共9 248例,其中男7 212例,女2 036例。2011-2015年男女总的食管癌平均发病率为30.097/10万,中标率为22.055/10万;男性食管癌平均发病率为47.093/10万,中标率为34.692/10万;女性食管癌平均发病率为13.209/10万,中标率为9.291/10万。男女总的食管癌中标发病率从2011-2013年逐年上升,2013年发病率最高,为23.945/10万,随后发病率开始下降,2015年发病率为22.233/10万。在男性和女性中,均是75~79岁年龄组发病率最高,发病率分别为209.028/10万和82.064/10万。食管癌亚部位分布以食管中段为主,共3 335例,占全部发病的36.06%。食管癌病理类型分布中,鳞癌共4 385例,占47.42%;腺癌共1 904例,占20.59%。结论近5年食管癌发病率仍较高,2011-2013年食管癌中标发病率逐年上升,随后发病率开始下降,75~79岁年龄组发病率最高,应针对重点人群继续加强食管癌防治工作。
[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.
【作者单位】： 济南市疾病预防控制中心慢性与非传染性疾病防治所;山东大学附属山东省肿瘤医院科教部;
【基金】：山东省医药卫生科技发展计划(2014WS0210)
【分类号】：R735.1
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本文编号：1943614