成都市温江区2008~2017年结直肠癌发病与死亡情况分析

Incidence and mortality of colorectal cancer in Wenjiang District,Chengdu City,2008-2017

目的分析成都市温江区2008~2017年结直肠癌的发病和死亡情况。方法收集成都市温江区2008~2017年结直肠癌发病及死亡数据,分析结直肠癌的发病率、死亡率、中国人口年龄标化率(中标率)、世界人口年龄标化率(世标率)、年龄别发病率和死亡率、发病及死亡年平均增长速度等指标。结果(1)结直肠癌新发病例5427例,粗发病率为65.45/10万,中标率为45.48/10万,世标率为39.78/10万,发病数占所有恶性肿瘤新发病例数的20.12%,位居所有恶性肿瘤的第4位。(2)结直肠癌死亡病例5184例,粗死亡率为62.53/10万,中标率为43.55/10万,世标率为35.42/10万,截缩率为37.26/10万,死亡率位居各类癌症死亡第5位。(3)随着年龄的增长,结直肠癌发病率和死亡率总体呈持续上升趋势,年平均上升速度分别为7.34%及7.74%。结论成都市温江区结直肠癌的发病率及死亡率呈逐年上升趋势,其中发病率位居恶性肿瘤第4位,死亡率位居第5位,今后可通过改变居民的不良生活方式及饮食习惯、戒烟等来降低结直肠癌的发病率和死亡率。

Objective To analyze the incidence and mortality of colorectal cancer in Wenjiang District,Chengdu City,between 2008 and 2017.Methods The data of incidence and mortality of colorectal cancer during 2008-2017 in Wenjiang District,Chengdu City,were collected to analyze the indices of colorectal cancer,the indices included incidence rate,mortality rate,age-standardized incidence/mortality rate by Chinese standard population(ASR China),age-standardized incidence/mortality rate by world standard population(ASR world),age-specific incidence and mortality rates,and average annual growth rate of morbidity and mortality.Results(1)There were 5427 newly-onset colorectal cancer cases,with a crude incidence rate of 65.45/105,a ASR China of 45.48/105,and a ASR world of 39.78/105,which accounted for 20.12%of all newly-onset malignancies cases and ranked the fourth in all malignancies.(2)There were 5184 cases died of colorectal cancer,with a crude mortality rate of 62.53/105,a ASR China of 43.55/105,a ASR world of 35.42/105 and a truncated mortality rate of 37.26/105,and the mortality rate ranked the fifth among various kinds of cancer deaths.(3)As patients′age increased,the incidence and mortality rates of colorectal cancer kept rising in general,exhibiting the average annual growth rates of 7.34%and 7.74%,respectively.Conclusion In Wenjiang District,Chengdu City,the incidence and mortality rates of colorectal cancer increase year by year,the incidence rate ranks the fourth in malignancies,and the mortality rate ranks the fifth.In future residents can change their unhealthy life style and dietary habits and quit smoking to reduce the incidence and mortality rates of colorectal cancer.