涉县食管癌的流行情况

The Epidemic Status of Esophageal Cancer in Shexian

[目的]报告涉县自20世纪70年代到21世纪初食管癌的死亡情况,进一步分析其在人群和空间的分布特点.[方法]采用全死因调查和通过三级防癌网的全死因登记报告的方法.[结果]20世纪70、80、90年代和21世纪初食管癌死亡率有明显的下降趋势,依次为131.31/10万、104.82/10万、76.31/10万和66.80/10万,趋势检验χ2=204.06,P＜0.001,有非常显著的差异.21世纪初与70年代比较,下降64.51/10万,下降49.12%,u＜检验P0.001;食管癌男女性别比例70、80、90年代和21世纪初分别为1.8、1.7、1.6和1.7,差别不大;食管癌死亡最低年龄组为30岁组,最高为75～85岁组;食管癌死亡有明显的地理分布差异,清漳河与浊漳河汇合处的夹角地区是食管癌死亡的最高发区.[结论]涉县食管癌死亡率从70年代到21世纪初死亡率呈明显的下降趋势,是多年来防治的结果.

[Purpose]To report the death of esophageal cancer from70s to the beginning of21century,and to analysis the gender and age as well as the geographic distribution.[Method]Data were obtained by all causes of death investigation and register system for all causes of death.[Result]There was obviously de-creased trend from70s to the beginning of21century.Mortality of esophageal cancer in70s,80s,90s and beginning of21century were131.31/10 5 ,104.82/10 5 ,76.31/10 5 and66.80/10 5 respectively.The value of trend test was204.06(P<0.001)with obvious difference.Compared with70s,it decreased64.51/10 5 at the beginning of21century(49.12%)(P<0.001);The sex ratio(male to female)in the4periods were1.8,1.7,1.6and1.7respectively,with no obvious difference;the lowest age group of death was30years group,and the highest was75～85years group;There was significant difference in geographic distribution.The high mor-tality area of esophageal cancer was the mingle area where Qingzhang river and Zhuozhang river con-verged.[Conclusion]The obvious decrease of mortality of esophageal cancer in Shexian from70s to the beginning of21century is the result of prevention and control in esophageal cancer in the past decades.