2021年重庆市宫颈癌发病率、死亡率与生存率分析  

Analysis on incidence,mortality and survival rate of cervical cancer in Chongqing,2021

作　　者：丁贤彬[1] 吕晓燕[1] 焦艳[1] 高旸 熊娟 许杰 DING Xianbin;LYU Xiaoyan;JIAO Yan;GAO Yang;XIONG Juan;XU Jie(Institute of Non-Communicable Disease Control and Prevention,Chongqing Center for Disease Control and Prevention,Chongqing 400042,China;The Second People's Hospital of Yubei District,Chongqing 401147,China)

机构地区：[1]重庆市疾病预防控制中心慢性非传染性疾病预防控制所,重庆400042 [2]重庆市渝北区第二人民医院,重庆401147

出　　处：《现代肿瘤医学》2024年第4期726-731,共6页Journal of Modern Oncology

基　　金：国家重点研发计划(编号:2018YFC1311702)。

摘　　要：目的:了解2021年重庆市宫颈癌发病率、死亡率与五年生存率,为开展恶性肿瘤防治提供依据。方法:收集整理2021年重庆市新发宫颈癌发病死亡数据,分析2021年重庆市宫颈癌发病率、标化发病率、死亡率、标化死亡率、年龄别发病率与死亡率。中国人口标化率采用2000年第五次人口普查标准人口构成进行标化,世界人口标化率采用2000年世界人口构成进行标化。不同性别和地区率的比较采用χ^(2)检验。对2016年新报告的宫颈癌病例进行主动和被动生存随访,采用生存分析寿命表法计算观察生存率,采用乘积极限法(Kaplan-Meier)计算平均生存时间,生存率的比较采用Log Rank of Mantel-Cox进行统计检验。结果:2021年重庆市宫颈癌发病率、中国标化发病率、世界标化发病率分别为21.60/10万、14.64/10万与14.71/10万,宫颈癌发病率农村(23.32/10万)高于城市(17.67/10万)(χ^(2)=6.96,P<0.01)。宫颈癌死亡率、中国标化死亡率、世界标化死亡率分别为5.00/10万、2.79/10万与3.02/10万,宫颈癌死亡率农村(5.65/10万)高于城市(3.53/10万)(χ^(2)=5.42,P=0.02)。2021年重庆市宫颈癌五年生存率为64.32%,城市地区宫颈癌五年生存率(76.35%)高于农村地区(59.79%),差异有统计学意义(χ^(2)=46.65,P<0.01)。结论:重庆市宫颈癌发病率与死亡率高,五年生存率较低,应重视宫颈癌的防治。Objective:To analyze the incidence,mortality and five years survival rate of cervical cancer in Chongqing,2021 and provide the suggestion for cervical cancer prevention and control.Methods:Cervical cancer cases reported from 39 districts and counties in Chongqing,2021 were analyzed to calculate the incidence,age standardization incidence rate by Chinese(ASIRC)and World standardization population(ASIRW),mortality,age standardization mortality rate by Chinese(ASMRC)and World standardization population(ASMRW)and five years survival rate of cancer.ASIRC and ASIRW were standardized by Chinese and World standardization population proportion in 2000.The difference of cancer incidence and mortality between urban and rural area was compared by Chi-square test.Cases of cervical cancer reported in Chongqing,2016 were followed up by active and passive follow-up.The observed survival rate of cervical cancer was calculated by survival life table.The average survival life time of cervical cancer was calculated by Kaplan-Meier.The difference of survival rate of cancer between urban and rural area was compared by Log Rank of Mantel-Cox.Results:The incidence,ASIRC and ASIRW of cervical cancer was 21.60/100000,14.64/100000 and 14.71/100000 in Chongqing,2021.The incidence of cervical cancer in rural area(23.32/100000)was higher than that in urban area(17.67/100000)(χ^(2)=6.96,P<0.01).The mortality,ASMRC and ASMRW of cervical cancer was 5.00/100000,2.79/100000 and 3.02/100000 in Chongqing,2021.The mortality of cervical cancer in rural area(5.65/100000)was higher than that in urban area(3.53/100000)(χ^(2)=5.42,P=0.02).The five years survival rate of cervical cancer was 64.32% in Chongqing,2021.The five years survival rate of cervical cancer in urban area(76.35%)was higher than that in rural area(59.79%)(χ^(2)=46.65,P<0.01).Conclusion:The incidence and mortality of cervical cancer was high.However,the five years survival rate of cervical cancer was low.It should be attached an importance for cervical cancer prevention and treatment.

关 键 词：宫颈癌 发病率 死亡率 生存率 

分 类 号：R737.33[医药卫生—肿瘤]