2009—2011年上海市长宁区脑及神经系统肿瘤发病情况分析

Analysis on Incidence of Brain and Nervous System Tumor in Changning District of Shanghai During 2009—2011

目的分析2009—2011年上海市长宁区脑肿瘤的发病与死亡情况。方法利用长宁区历年恶性肿瘤登记资料中的发病、死亡及人口资料,分别计算粗发病率、世界标准人口构成(世标率)、累积率、截缩率、年龄别发病率等指标,采用国际通用的ICD-10和ICD-O-3国际疾病分类方法统计。结果2009—2011年,长宁区脑及神经系统肿瘤的合计粗发病率分别为11.73/105、12.52/105和12.78/105,世标率分别为7.50/105、6.78/105和6.39/105。3年的截缩率分别为10.45/105、10.97/105和11.45/105。0~64岁累积率分别为0.43%、0.41%和0.41%,0~74岁的累积率分别为0.81%、0.71%和0.68%。2009—2011年,长宁区脑及神经系统肿瘤发病率随年龄的增长而增加。2009年的发病率在≥80岁组别达到高峰(48.96/105),2010年发病率在≥85岁组别达到最高(72.57/105),2011年是≥80岁组别最高(75.68/105)。结论上海市长宁区脑肿瘤发病呈上升趋势,发病率处于较高水平。中老年人群特别是80岁以上的老年人群是脑肿瘤发病的重点人群。

Objective To analyze the morbidity and mortality of brain and nervous tumors in Changning District during 2009-2011. Methods Using registration data of malignant tumor in Changning District, the crude incidence rate, the world standard rate, cumulative rate, sectional shrinkage, age-specific incidence rate, and others were calculated. Results From 2009 to 2011,the total crude incidences of brain and nervous system tumors were 11.73/105, 12.52/105, and 12.78/105, respectively, the world standard rates were 7.50/105, 6.78/105 and 6.39/105, respectively, and the shrinkages of three years were 10.45/105, 10.97/105, and11.45/105, respectively. The cumulative rates of 0-64 year old were 0.43%, 0.41%, and 0.41%, respectively, and the accumulation rates of 0-74 year old were 0.81%, 0.71%, and 0.68%, respectively. The age-specific incidence rates of brain and nervous system tumors increased with age during 2009-2011. The incidence peaked at 80-year group with 48.96/105 in 2009, at 85-year one with 72.57/105 in 2010, and at 80-year one with 75.68/105 in 2011. Conclusion Brain tumor incidence is on the rise in Changning District, which is at a higher level. Old adults, especially elderly population aged over 80, are the higher risk group of brain tumor.