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目的掌握宝应县恶性肿瘤流行病学特征,为制定防治措施提供依据。方法应用SPSS16.0对该县2011年恶性肿瘤登记资料分析,按年龄性别分组计算发病率、死亡率,并用江苏省人口构成和全国人口构成进行标化,根据肿瘤分类ICD-10编码计算死亡率、潜在减寿年数(PYLL)。结果宝应县2011年恶性肿瘤发病率为136.68/10万,死亡率为88.10/10万。男性发病率为177.83/10万,死亡率为117.31/10万,死亡率较高的是食管癌、气管支气管癌和肺癌、肝癌、胃癌和直肠癌,占男性恶性肿瘤死亡的79.12%;以肝癌、食管癌、气管支气管癌和肺癌的PYLL最大。女性发病率为92.04/10万,死亡率为56.42/10万,死亡率较高的是气管支气管癌和肺癌、胃癌、食管癌、肝癌和乳房癌;死亡数占女性恶性肿瘤死亡的64.50%,以气管支气管癌和肺癌、乳房癌、白血病的PYLL最大。该县恶性肿瘤发病在50岁之后逐渐升高,在80岁时达到高峰,之后有所下降。结论宝应县恶性肿瘤发病率和死亡率男性均高于女性。发病和死亡主要集中在75~80岁年龄组。食管癌发病率和死亡率最高,肝癌PYLL最大。
Objective To grasp the epidemiological characteristics of malignant tumor in Baoying County and provide the basis for making prevention and cure measures. Methods SPSS 16.0 was used to analyze the registration data of malignant tumors in 2011 in the county. Morbidity and mortality were calculated by age and sex. The population was normalized with the population composition of Jiangsu province and the national population composition. The mortality was calculated according to the ICD-10 code , Potential years of life lost (PYLL). Results The incidence of malignant tumors in Baoying County was 136.68 / 100,000 in 2011 with a mortality rate of 88.10 / 100,000. The incidence of males was 177.83 / lakh, with a mortality rate of 117.31 / lakh. The highest death rates were esophageal cancer, tracheobronchial carcinoma and lung cancer, liver cancer, gastric cancer and rectal cancer, accounting for 79.12% of the deaths of male malignant tumors; , Esophageal cancer, tracheobronchial lung cancer and PYLL the largest. The incidence rate of female was 92.04 / 100000 and the death rate was 56.42 / 100000. The mortality rates were higher in tracheobronchial carcinoma and lung cancer, gastric cancer, esophageal cancer, liver cancer and breast cancer. The deaths accounted for 64.50% of the deaths of female malignant tumors, PYLL with tracheobronchial and lung cancer, breast cancer, leukemia was the largest. The incidence of malignant tumors in the county after 50 years of age gradually increased, reaching a peak at the age of 80, then declined. Conclusion The incidence and mortality of malignant tumors in Baoying County are higher than those in women. Incidence and death mainly concentrated in the 75 to 80 age group. The highest incidence and mortality of esophageal cancer, liver PYLL the largest.