2000-2009年浙江省肿瘤登记地区肺癌流行趋势分析

An Epidemic Trend Analysis of Lung Cancer in Registration Areas in Zhejiang Province, 2000-2009

[目的]分析浙江省肿瘤登记地区2000～2009年肺癌流行趋势，为制定肺癌预防控制措施与策略提供依据。[方法]根据浙江省6个肿瘤登记处上报的数据，计算并分析浙江省肿瘤登记地区居民肺癌的发病率和死亡率、中国人口标化率（中标率）、世界人口标化率（世标率）、年龄别发病率和死亡率等指标。2000～2009年肺癌发病率和死亡率变化趋势采用年度变化百分比（APC）估计。[结果]男女合计肺癌粗发病率为49．57／10万，中标率和世标率分别为24．69／10万和33．09／10万，占全部癌症病例的18．26％；位居各类癌症之首。肺癌发病率从2000年的40．59／10万上升到2009年的57．63／10万，上升了41．98％，APC为3．84％（95％CI：2．18％～5．53％）。男女合计肺癌死亡率为43．33／10万，中标率和世标率分别为20．15／10万、27．53／10万；肺癌死亡率位居各类癌症死亡的第1位。肺癌死亡率基本上呈逐年上升趋势。[结论]肺癌发病率、死亡率均位居浙江省各类癌症第1位，加强肺癌预防与控制工作已成为当务之急。

[ Purpose ] To investigate the epidemiological features of lung cancer in registration areas in Zhejiang province from 2000 to 2009,and to proyide basis for making control measures and strategies for prevention. [Methodsl Based on data/of 6 cancer registries in Zhejiang province, crude incidence, crude mortality, age-standardized incidence, age-standardized mortality, age-spe cific incidence, age-specific mortality were calculated respectively. Trends of incidence and mor tality of lung cancer from 2000 and 2009 in the 6 cancer registies in Zhejiang province were estimated by annual percentage change（APC）. [ Results ] In registration areas of Zhejiang province from 2000 to 2009,lung cancer crude incidence was 49.57/105 （ASR China 24.69/105,ASR world 33.09/ 05）,accounted for 18.26% of all cancer cases with the first rank. The incidence rate increased from 40.59/105 in 2000 to 57.63/105 in 2009 with APC of 3.84% （95% confidence interval 2.18%- 5.53%）, Lung cancer mortality was 43.33/105 （ASR China 20.15/105,27.53/105） ranked of the first cancer deaths. Lung cancer mortality Showed a rising trend year by year. [Conclusion] The inci dence and mortality of lung cancer rank the first of all cancers in registration areas in Zhejiang province. Prevention and control for lung cancer must become a pressing matter.