沈阳市31家工厂职工肺癌的流行病学调查研究

Epidemiological Study on Lung Cancer in 31 Factories of Shenyang City

目的 对沈阳市 1979～ 1994年 31家工厂职工肺癌的流行病学调查研究。结果 肺癌的发病率在 19 4/ 10万～5 2 9/ 10万之间 ,1990年最高 (5 2 9/ 10万 ) ;男性高于女性。肺癌死亡率 ,男性在 2 2 9/ 10万～ 5 8 9/ 10万之间 ,1990年最高 (5 8 9/ 10万 ) ;女性在 7 6 / 10万～ 2 8 7/ 10万之间 ,1987年最高 (2 8 7/ 10万 ) ;男性高于女性。肺癌 3、5、8、10年的存活率分别为 8 3%、5 3%、3 2 %、1 3 %。中心型肺癌居 3种部位之首位 (6 7 0 % )。男性鳞癌居 4种组织类型的首位(5 0 9% ) ;女性腺癌居 4种组织类型的首位 (6 7 9% ) ;5 5～ 6 4岁为鳞癌 (4 4 5 % )、腺癌 (4 7 2 % )、小细胞癌 (5 0 0 % )和大细胞癌 (35 7% )的高发病年龄组。

Objective To study the epidemiology of lung cancer in 31 factories workers of Shenyang city form 1970 to 1994.Results Incidence rate of lung cancer were between 19 4/10 5 and 52 9/10 5 from 1979 to 1994,and was the highest ( 52 9/10 5 ) in 1990;male was significantly higher than female.Morality rate of lung cancer of male were between 22.9/10 5 and 58.9/10 5 from 1979 to 1994,and was the highest (58.9/10 5) in 1990;femal were between 7.6/10 5 and 28.7/10 5,and was the highest(28.7/10 5) in 1987;male was significantly higher than female.The survival rates of lung cancer were 8.3% for 3 years,5 3% for 5 years,3.2% for 8 years and 1.3% for 10 years.The centre classifcation was the highest(67 0%) in 3 dukes stages of lung cancer.The squamous cell carcinoma of male was the highest(50 9%) in 4 histological classifcations of lung cancer,and the ademocarcinoma of female was the highest(67.9%).The incidence age of 4 histological classifcations of lung cancer reached high peak in age of 55 to 64 years,and the persents were 44.5% for squamous cell carcinoma,47 2% for adenocarinoma,50.0% for small cell cancer and 35.7% for large cell cancer.