中国2009年膀胱癌发病和死亡资料分析

Incidence and Mortality of Bladder Cancer in China,2009

[目的]评价我国肿瘤登记地区膀胱癌的发病与死亡情况。[方法]对全国104个登记处上报的2009年膀胱癌登记数据进行评估,共72个登记处的数据入选,计算膀胱癌的发病率、死亡率、构成、累积率,人口标准化率根据全国1982年人口普查的人口结构和Segi’s世界人口结构为标准。[结果]2009年登记地区共覆盖登记人口85470522人（其中城市57489009人,农村27981513人）,新发膀胱癌病例5647例,膀胱癌死亡病例2223例。全部地区膀胱癌发病率为6.61/10万（男性9.78/10万,女性3.35/10万）,中国人口标准化（中标）发病率3.03/10万,世界人口标准化（世标）发病率4.14/10万,累积率（0~74岁）为0.47%。城市地区发病率为8.11/10万,中标发病率3.55/10万,农村地区发病率为3.52/10万,中标发病率1.82/10万。全部地区膀胱癌死亡率为2.60/10万（男性3.88/10万,女性1.29/10万）,中标死亡率0.97/10万,世标死亡率1.49/10万,累积死亡率（0~74岁）为0.13%。城市地区膀胱癌死亡率为3.06/10万,中标死亡率1.07/10万。农村地区膀胱癌死亡率为1.65/10万,中标死亡率0.74/10万。[结论]随着工业化、城镇化、老龄化的加速和吸烟人口的增加,我国膀胱癌的发病率将逐渐上升,应充分重视。

Purpose To analyze the incidence and mortality rate of bladder cancer in Chinese cancer registration areas in 2009. Methods After checking and reviewing the cancer registry data in 2009 from 104 cancer registry centers,72 centers’ data were included in this analysis. Incidence/mortality rates,age-specific incidence/mortality rates,age-standardized incidence/mortality rates,proportion,and cumulative incidence/mortality rates were calculated respectively. Results Seventy-two registry centers covered a total of 85 470 522 population （urban 57 489 009,rural 27 981 513）. The total newly diagnosed bladder cancer cases and deaths cases were 5 647 and 2 223 respectively. The crude incidence rate of bladder cancer in Chinese cancer registration areas was 6.61/10 5 （male 9.78/10 5 ,female 3.35/10 5 ）,age-standardized incidence rates by Chinese standard population （ASR China） and by world standard population were 3.03/10 5 and 4.14/10 5 respectively,and the cumulative incidence rate（0~74 years old） was 0.47%. The incidence and ASR China of bladder cancer were 8.11/10 5 and 3.55/10 5 in urban areas,whereas 3.52/10 5 and 1.82/10 5 in rural areas. The mortality rate of bladder cancer in Chinese cancer registration areas was 2.60/10 5 （male 3.88/10 5 , female 1.29/10 5 ）,age-standardized mortality rates by Chinese standard population and by world standard population were 0.97/10 5 and 1.49/10 5 respectively,and the cumulative incidence rate （0~74 years old） was 0.13%. The mortality and ASR China were 3.06/10 5 and 1.07/10 5 in urban areas, whereas 1.65/10 5 and 0.74/10 5 in rural areas.Conclusion Along with the rapid industrialization, population aging,and growing tobacco consumption,the incidence of bladder cancer will rise continually,prevention for bladder cancer should be paid attention to.