石河子市2010～2011年食管癌发病死亡流行特征

An Analysis of Esophageal Cancer Incidence and Mortality in Shihezi City,2010～2011

[目的]评价2010～2011年石河子市食管癌发病、死亡情况,为食管癌的预防控制提供科学依据。[方法]利用石河子肿瘤登记处2010～2011年恶性肿瘤发病及死亡资料,统计和分析食管癌粗发病率、粗死亡率、年龄别发病率、年龄别死亡率、中标率及世标率指标。采用趋势卡方检验分析发病率与年龄的关系。[结果]石河子市2010～2011年食管癌新发病例99例,食管癌死亡病例42例。食管癌粗发病率为8.63/10万（男性为12.29/10万,女性为4.29/10万）,中标率与世标率分别为4.17/10万和5.28/10万。食管癌粗死亡率为3.66/10万（男性为5.19/10万,女性为2.11/10万）,中标率与世标率分别为1.80/10万和2.60/10万。男性发病率和死亡率均高于女性,多集中于中老年人,且随着年龄的增长而升高（χ2趋势发病=201.95,P〈0.001;χ2趋势死亡=43.14,P〈0.001）。[结论]石河子市2010～2011年食管癌发病、死亡率较低,应当加强男性及60岁以上人群上消化道肿瘤的早诊早治工作,积极预防食管癌。

[Purpose] To investigate the incidence and mortality of esophageal cancer in Shihezi city from 2010 to 2011,so as to provide the evidence for prevention and control of esophageal cancer in Shihezi city.[Methods] The registered cancer data of new cases and death cases in 2010~2011 was collected from Shihezi Cancer Registry. The indexes,including crude incidence,crude mortality,age-specific incidence,age-specific mortality,age-standardized incidence rates by Chinese population and age-standardized incidence rates by world population were calculated. [Results] Ninety-nine new diagnosed cases and 42 death cases of esophageal cancer were reported.The crude incidence of esophageal cancer in Shihezi city in 2010~2011 was 8.63/105（12.29/105 in male,4.29/105 in female）,and age-standardized incidence rates by Chinese population and agestandardized incidence rates by world population were 4.17/105 and 5.28/105 respectively. While,crude mortality of esophageal cancer in Shihezi city during 2010~2011 was 3.66/105（5.19/105 in male,2.11/105 in female）. The age-standardized mortality rates by Chinese population and world population were 1.80/105 and 2.60/105 respectively. The incidence and mortality of esophageal cancer in male were higher than that in female. And most of the cases were in the elderly group.The incidence and mortality of esophageal cancer increased with age growth（χ2incidence trend=201.95,P0.001;χ2mortality trend=43.14,P〈0.001）. [Conclusion] The incidence and mortality of esophageal cancer in Shihezi is in the low level. The early diagnosis and treatment measures should be carried out in male and older than 60 years population.