2009-2011年淮安市食管癌流行病学与治疗现状分析  

Epidemiology and current status of esophageal cancer in Huai'an city,from 2009 to 2011

作　　者：王志敏[1,2] 杜云翔[1] 山顺林[1] 单鹄声[1] 闻旭阳[1] 林浩[1,2] 潘恩春[3] 

机构地区：[1]蚌埠医学院附属解放军第八十二医院肿瘤中心,江苏淮安223001 [2]蚌埠医学院研究生部,安徽蚌埠233000 [3]淮安市疾病预防控制中心慢病科,江苏淮安223001

出　　处：《中华肿瘤防治杂志》2013年第5期334-337,共4页Chinese Journal of Cancer Prevention and Treatment

基　　金：江苏预防医学基金(YZ201008);南京军区医学科技创新经费资助项目(08MA036)

摘　　要：目的:对淮安市2009-2011年食管癌发病、死亡及治疗情况进行分析,为食管癌的综合防治提供依据。方法:利用淮安市肿瘤登记处收集的淮安市2009-2011年食管癌发病及死亡数据,计算发病率、标化发病率,死亡率和标化死亡率潜在减寿年数,分析食管癌高发的流行病学特征。结果:淮安地区2009-2011年食管癌粗发病率为62.91/10万,标化率为49.92/10万,居淮安市恶性肿瘤发病第1位,其粗化率和标化率在城市和农村不同性别之间均处于较高水平,男女性粗发病率在≥45岁逐渐升高,在75～<80岁达到最高峰。食管癌粗死亡率为46.75/10万,标化率为36.87/10万,居淮安市恶性肿瘤死亡第1位,在<45岁男、女性死亡率均处于较低水平,≥45岁逐渐上升,在75～<80岁达到最高峰。全市食管癌潜在减寿年数(YPLL)为45 678人年,平均潜在减寿年数(AYLL)为6.21人年。接受手术治疗者比例为28.70%(1 815/6 323),接受放疗者为49.44%(3 126/6 323)。结论:淮安地区食管癌发病率和死亡率均处于较高水平,男女性别比较大,在食管癌高发地区应进一步加大人群防治的力度以巩固防治效果。OBJECTIVE：To investigate the incidence and mortality of esophageal cancer in Huai＇ an Area from 2009 to 2011 ,providing a basis for its comprehensive prevention and treatment. METHODS： The data about the incidence and mortality of esophageal cancer were provided by H uai＇ an Cancer Registry, and the incidence and mortality rates, standard- ized rates and potential years of life lost （PYLL） were calculated and the epidemiological characteristics of the disease was analyzed. RESULTS： The crude and standardized incidence rates were 62. 91/10s and 49. 92/105, respectively, both of which were high in urban and rural areas of Huai＇an,and in males and females. The incidence increased in people aged 45 years old,reaching the peak at the ages of 75--80. The crude and standardized mortality rates were 46.75/10s and 36. 87/10S,respectively,and the mortality rate was at low level under the age 45,but gradually increased after the age 45, reaching the peak at the ages of 75--80. The PYLL was 45 678 person-years,and the average PYLL （AYLL） was 6.21 person-years. The cases received surgery counted for 28.70% （1 815/6 323） ,and radiotherapy for 49.44% （3 126/6 323）. CONCLUSION： The incidence and mortality rates of esophageal cancer are high in Huai an area, and prevention and con- trol activities on it should be further enhanced.

关 键 词：食管肿瘤 发病率 死亡率 减寿年数 治疗 

分 类 号：R735.1[医药卫生—肿瘤]