上海市区泌尿系统恶性肿瘤相对生存率分析  

The Analysis of the Relative Survival for Urological Cancer in Urban Shanghai

作　　者：邵常霞[1] 项永兵[1] 刘振伟[1] 高静[1] 孙璐[1] 方茹蓉[1] 阮志贤[1] 高立峰[1] 金凡[1] 高玉堂[1] 

机构地区：[1]上海交通大学肿瘤研究所上海市肿瘤研究所流行病学室

出　　处：《中国肿瘤临床》2005年第6期321-324,327,共5页Chinese Journal of Clinical Oncology

摘　　要：目的:分析1988～1995年上海市区泌尿系统恶性肿瘤的生存情况,观察其趋势。方法:根据上海市肿瘤登记处积累的肿瘤登记病例和随访资料,采用寿命表法和H akulinen氏法计算相对生存率,并比较前后两个时期(4年)结果。结果:上海市区1988～1995年男性膀胱癌、肾癌、前列腺癌5年相对生存率分别为57.4%、49.9%、36.5%,女性膀胱癌、肾癌5年相对生存率分别为47.6%、53.5%;其中男性膀胱癌的生存率高于女性,但肾癌相反。不同时间段分析结果显示:1988～1991年男性膀胱癌、肾癌、前列腺癌5年相对生存率分别从53.7%、41.6%、38.0%上升至1992～1995年的57.2%、50.6%、39.1%;女性膀胱癌5年相对生存率从41.8%上升至44.7%,而女性肾癌5年相对生存率从48.0%降至47.3%。结论:上海市区泌尿系统恶性肿瘤生存率基本呈现上升趋势,但仅男性肾癌和前列腺癌的变化有统计学意义。Objective: To analyze the cancer survival rate during 1988～1991 and 1992～1995 and evaluate the prognosis of urological cancer in urban Shanghai. Methods: Population-based cancer registration data was used in the analysis. Life table and Hakulinen's methods were used to estimate the observed and relative survival rates. Results: During 1988～1995, the 5-year relative survival rates of male bladder, renal and prostate cancers were 57.4%, 49.9%, 36.5%, respectively, and the rate for female bladder and renal cancers were 47.6% and 53.5%, respectively. For male bladder cancer, the survival rate was higher than that of female patients. During 1988～1991 to1992～1995, the 5-year relative survival rates of male bladder, renal and prostate cancers increased from 53.7%, 41.6%, 38.0% to 57.2%, 50.6%, 39.1%, respectively. For female bladder cancer, the rate increased from 41.8% to 44.7%; however in renal cancer, the rate decreased from 48.0% to 47.3%. Conclusions: Increasing trend has been observed for the survival rate of urological cancer patients from 1988～1991 to 1992～1995 in the urban of Shanghai, but there are only statistically significant changes in male renal and prostate cancers.

关 键 词：泌尿系统肿瘤 观察生存率 相对生存率 

分 类 号：R737.1[医药卫生—肿瘤]