上海市徐汇区2001—2011年结直肠癌发病率分析  

Trends of colorectal cancer incidence in Xuhui District of Shanghai （2001--2011）

作　　者：杨祺 顾治华 刘春敏 顾海雁[2] 倪红伟[2] 

机构地区：[1]上海市徐汇区凌云街道社区卫生服务中心,200237 [2]上海市徐汇区疾病预防控制中心

出　　处：《中华全科医师杂志》2013年第3期181-184,共4页Chinese Journal of General Practitioners

基　　金：志谢上海市计划生育科学研究所廉启国协助医学统计

摘　　要：目的分析上海市徐汇区2001至2011年结肠直肠癌发病率变化趋势及其年龄、性别特点。方法自上海市肿瘤报告系统中共收集3042例结肠癌和1958例直肠癌患者资料，计算11年间每年男女结肠癌与直肠癌的发病率，并采用2000年中国人口普查数据为基准逐年进行标化。结果徐汇区结直肠癌标化发病率从2001年的21．83／10万上升至2006年的27．35／10万，上升了25．29％；2009至2011年发病率趋于平稳。全区结肠癌与直肠癌发病例数之比为1．55：1，结肠癌发病率明显高于直肠癌。全区男女结直肠癌的发病率均随年龄的增长而上升，男女结肠癌平均发病率之比为0．98：1，直肠癌平均发病率之比为1．25：1。45岁以上年龄组呈现高发，分别占总发病率的98．70％和98．37％。结论徐汇区11年来结直肠癌发病率显著高于全国平均水平，需采取更有效的预防措施。结肠癌发病率高于直肠癌，结肠癌发病未见明显性别差异，但直肠癌发病男多于女，应进一步探讨相关原因。Objective To investigate the trends of colorectal cancer incidence in Shanghai Xuhui District from 2001 to 2011. Methods Total 3042 cases of colon cancer and 1958 cases of rectal cancer were collected from the Shanghai Cancer Reporting System. The results were age-adjusted according the census data of 2000 as the standardized incidence. Results The standardized incidence rate of colorectal cancer in Xuhui District rose from the 21.83/100 000 in 2001 to 27.35/100 000 in 2006 and increased by 25.29% ; fi＇om 2009 to 2011 the incidence rate was stabilized. The ratio of colon to rectal cancer was 1.55：1 , and the incidence of colon cancer was significantly higher than rectal cancer. The incidence rate of male and female colorectal cancer increased with age, especially at 〉 45 y group accounting for 98.70% and 98.37% of total incidence rate respectively. The ratio of male to female in colon cancer incidence rate was 0. 98： 1, while that of rectal cancer wasl. 25： 1. Conclusion The incidence of colorectal cancer in Xuhui District fi＇om the last 11 years is significantly higher than of national level. More effective preventive measures should be taken.

关 键 词：结直肠肿瘤 发病率 数据收集 

分 类 号：R735.34[医药卫生—肿瘤]