2010年淮安市食管癌发病、死亡情况和生存率分析  

Analysis on incidence, mortality and survival rate of esophageal cancer in Huai'an city in 2010

作　　者：孙中明[1] 何源[1] 潘恩春[1] 缪丹丹[1] 张芹[1] 王闯[1] 

机构地区：[1]淮安市疾病预防控制中心,江苏淮安223001

出　　处：《现代预防医学》2017年第10期1883-1886,共4页Modern Preventive Medicine

基　　金：江苏省卫生厅预防医学基金项目(Y2013034);淮安市应用研究与科技攻关(社会发展)项目(HAS2014013-4)

摘　　要：目的分析淮安市2010年食管癌患者发病、死亡和生存情况,为制定食管癌防治策略提供参考依据。方法采用淮安市恶性肿瘤登记报告系统和死因登记报告系统相结合的方法,收集淮安市各县区2010年食管癌患者发病、死亡和生存信息,采用寿命表法计算观察生存率,Ederer II法计算相对生存率。结果淮安市食管癌发病率为58.26/10万,标化发病率为44.25/10万,死亡率为42.74/10万,标化死亡率为32.46/10万。食管癌1年、3年、5年观察生存率分别为57.99%、29.84%、22.58%,相对生存率分别为71.99%、36.30%、26.79%。男性食管癌的发病死亡均高于女性,而男性1年、3年、5年观察生存率和相对生存率均低于女性。城市发病和死亡均高于农村,而城市1年、3年、5年观察生存率和相对生存率均低于农村。食管癌的发病和死亡均呈单峰分布,发病死亡高峰均在75岁~年龄组。35岁~到45岁~之间,食管癌的5年观察生存率和相对生存率均先降低再升高,45岁以后,生存率逐渐降低。结论淮安市食管癌生存率有了较大的提高,但发病率和死亡率仍然较高,应继续加强食管癌防治宣传和早诊早治工作。Objective The aim of this study was to analyze the incidence, mortality and survival of esophageal cancer patients in 2010 in Huai＇an city, so as to provide basis for prevention and treatment of esophageal cancer. Methods The incidence, mortality and survival information of esophageal cancer in 2010 were collected by Cancer Registry Reporting System and Cause of Death Registration Reporting System in Huai＇an city. Observed survival rates （OSR） were calculated by life table, and relative survival rates （RSR） were calculated by Ederer II method. Results The incidence rate of esophageal cancer was 58.26/105, and the standardized incidence rate was 44.25/105. The mortality rate was 42.74/105, and the standardized mortality rate was 32.46/105. The OSRs of esophageal cancer at one year, three years and five years were 71.99%, 36.30% and 26.79%, and the RSRs were 71.99%, 36.30%, 26.79%, respectively. Both the incidence and mortality rates in males were higher than those in females, while OSRs and RSRs at one year, three years and five years in males were lower than in females. Both the incidence and mortality rates in urban area were higher than those in rural area, while OSRs and RSRs at one year, three years and five years in urban area were lower than those in rural area. The incidence and mortality of esophageal cancer had single peak, and the peaks wereobserved in the age group above 75 years old. Between 35 years old and 45 years old, the five-year survival rate of esophageal cancer were decreased first and then increased. After 45 years old, the survival rate decreased gradually. Conclusion Survival rates of esophageal cancer in Huai＇an city were remarkably improved, while the incidence and mortality was still high. Health education and early detection and treatment for esophageal cancer must be kept strengthening.

关 键 词：食管癌 发病率 死亡率 生存率 淮安 

分 类 号：R195.4[医药卫生—卫生统计学]