摘要
目的 探讨该地区肝癌发病的流行病学特征和变化规律，为制定肝癌防治规划和评价防治效果提供依据。方法 收集扶绥县全县范围内1997～2003年人口死亡与恶性肿瘤发病资料，并收集同期各年全县的人口数据，以1990年人口普查所得的人口构成推算同期的人口构成，统计计算当地各年度肝癌发病率；并结合历史资料，对当地肝癌发病率的变动趋势作出判断。结果 1997～2003年扶绥县肝癌发病率为52．79／10万（相应的1964年中国人口标化率为50．50／10万）；肝癌占全部恶性肿瘤的57．01％，居恶性肿瘤首位；肝癌发病率的性比例为4．93：1（男／女）；肝癌年龄别发病率随年龄的增长而上升．发病的中位年龄为47．58岁；各年度肝癌发病率相当平稳，变化不明显。与20世纪70年代的资料比较，有略呈下降的趋势。结论 扶绥县最近几年的肝癌发病率相对稳定且有略呈下降的趋势；与同期的广西乃至全国的肝癌死亡率（发病率的替代指标）的明显升高趋势相对照，当地肝癌发病率稳中有降的态势，可以客观地反映多年来肝癌现场防治工作的成效。此外，肝癌发病的中位年龄也出现了明显的后移现象，低年龄组发病率下降趋势更为显著，这是反映现场防治效果的另一个重要标志。
Objective To explore the epidemiological feature, as well as the changing ntle of the morbidities of malignant diseases, especially of liver cancer, in the population of Fushui county, Guangxi province in the period of 1997～2003, to work out a long-term program about the liver cancer controlling, and to offer a background to evaluate the effect of the controlling. Methods Mortality data of all the causes and morbidity data of all malignant diseases were collected in Fushui county, Guangxi province, in the period of 1997 ～2003. Population data was collected as well. The population construction, by ages and sexes, was calculated, referring to the data of overall survey in 1990, Morbidity rates of liver cancer were statistically calculated yearly, and history data was compared to produce the changing trends, Results The mean morbidity rate of liver cancer in Fushui county was 52.79/105 （or 50,50/105, if adjusted to the Chinese population, 1964） ; Liver cancer morbidity rate was 57,01% of the morbidity rate of overall malignant diseases, being the number one in all the malignant diseases, Sex ratio （men/women） was 4,93： 1, Morbidity rates of liver cancer rose by ages, with the mid-age of 47,58, Morbidity rates of liver cancer in these years remained relatively stable, Comparing with 1970＇s data, these rates seemed already reduced a little, Conclusion This a few years, morbidity rates of liver cancer remain relatively stable,seem already reduced a little,if compared with 1970＇s data,in Fushui County, Considering that mortality rates （a replacement of cancer morbidity rates） of liver cancer already rise obviously in Guangxi, as well as in overall the China, the trend that morbidity of liver cancer in Fushui County is stable, and reduce a little, comparing with history data, could be considered as a reflection of the effect of cancer control, which had already been being carried out in Fushui County, The facts that mid-age of the morbidity is retreated and that morbidities in lower ages are reduced more obviously are the other important evidences of the effect of the field cancer control.
出处
《广西医学》
CAS
2006年第9期1336-1339,共4页
Guangxi Medical Journal
基金
中国癌症研究基金会资助课题(009)
关键词
原发性肝癌
发病率
流行趋势
Primary liver cancer
Morbidity rates
Epidemiological trends,
