中华妇产科杂志
中華婦產科雜誌
중화부산과잡지
CHINESE JOUNAL OF OBSTETRICS AND GYNECOLOGY
2012年
6期
445-451
,共7页
魏矿荣%陈万青%张思维%郑荣寿%王亚娜%梁智恒
魏礦榮%陳萬青%張思維%鄭榮壽%王亞娜%樑智恆
위광영%진만청%장사유%정영수%왕아나%량지항
子宫肿瘤%流行病学%登记
子宮腫瘤%流行病學%登記
자궁종류%류행병학%등기
Uterine neoplasms%Epidemiology%Registries
目的 研究中国部分肿瘤登记地区2003-2007年子宫体癌的流行概况,为中国子宫体癌的防治提供科学依据.方法 根据全国肿瘤登记中心提供的2003-2007年数据资料,按照全国肿瘤登记中心的标准,筛选出其中数据质量较高的32个肿瘤登记地区的资料,分析其子宫体癌的发病与死亡情况.结果 2003-2007年全国32个肿瘤登记地区中,子宫体癌的发病与死亡总数分别为8850和1559例,分别占其同期女性恶性肿瘤发病和死亡总数的2.96％(8 850/299 306)和0.94％(1 559/166 305).子宫体癌的世界标准化(世标)发病率和死亡率分别为5.04/10万和0.83/10万,分别为同期女性恶性肿瘤发病和死亡顺位的第9位和第19位；其中,世标发病率最高的地区依次是广东省中山市、广州市和北京市,分别为14.51/10万、8.51/10万和6.69/10万,世标死亡率最高的地区依次是广东省中山市、江苏省大丰市和山东省肥城市,分别为4.03/10万、3.19/10万和1.65/10万.2003-2007年全国32个肿瘤登记地区中,子宫体癌的世标发病率呈明显上升趋势,从2003年的3.94/10万上升至2007年的5.56/10万,差异有统计学意义(P=0.026),其中城市的世标发病率从2003年的4.57/10万上升至2007年的6.18/10万(P=0.038),农村从2003年的1.74/10万上升至2007年的3.01/10万(P =0.013),差异均有统计学意义,且城市子宫体癌的世标发病率明显高于农村(P＜0.01)；子宫体癌的世标死亡率呈缓慢上升趋势,从2003年的0.64/10万上升至2007年的0.87/10万,但差异无统计学意义(P=0.214),其中城市的世标死亡率从2003年的0.66/10万上升至2007年的0.88/10万(P =0.340),农村从2003年的0.57/10万上升至2007年的0.83/10万(P=0.070),差异均无统计学意义,但城市子宫体癌的世标死亡率明显高于农村(P＜0.01).结论 2003-2007年,虽然全国32个肿瘤登记地区子宫体癌的世标发病率和死亡率位于世界较低水平,但其世标发病率呈明显上升趋势,且部分地区如广东省中山市和江苏省大丰市的世标发病率与死亡率居世界较高水平,提示应加强中国子宫体癌的防治.
目的 研究中國部分腫瘤登記地區2003-2007年子宮體癌的流行概況,為中國子宮體癌的防治提供科學依據.方法 根據全國腫瘤登記中心提供的2003-2007年數據資料,按照全國腫瘤登記中心的標準,篩選齣其中數據質量較高的32箇腫瘤登記地區的資料,分析其子宮體癌的髮病與死亡情況.結果 2003-2007年全國32箇腫瘤登記地區中,子宮體癌的髮病與死亡總數分彆為8850和1559例,分彆佔其同期女性噁性腫瘤髮病和死亡總數的2.96％(8 850/299 306)和0.94％(1 559/166 305).子宮體癌的世界標準化(世標)髮病率和死亡率分彆為5.04/10萬和0.83/10萬,分彆為同期女性噁性腫瘤髮病和死亡順位的第9位和第19位；其中,世標髮病率最高的地區依次是廣東省中山市、廣州市和北京市,分彆為14.51/10萬、8.51/10萬和6.69/10萬,世標死亡率最高的地區依次是廣東省中山市、江囌省大豐市和山東省肥城市,分彆為4.03/10萬、3.19/10萬和1.65/10萬.2003-2007年全國32箇腫瘤登記地區中,子宮體癌的世標髮病率呈明顯上升趨勢,從2003年的3.94/10萬上升至2007年的5.56/10萬,差異有統計學意義(P=0.026),其中城市的世標髮病率從2003年的4.57/10萬上升至2007年的6.18/10萬(P=0.038),農村從2003年的1.74/10萬上升至2007年的3.01/10萬(P =0.013),差異均有統計學意義,且城市子宮體癌的世標髮病率明顯高于農村(P＜0.01)；子宮體癌的世標死亡率呈緩慢上升趨勢,從2003年的0.64/10萬上升至2007年的0.87/10萬,但差異無統計學意義(P=0.214),其中城市的世標死亡率從2003年的0.66/10萬上升至2007年的0.88/10萬(P =0.340),農村從2003年的0.57/10萬上升至2007年的0.83/10萬(P=0.070),差異均無統計學意義,但城市子宮體癌的世標死亡率明顯高于農村(P＜0.01).結論 2003-2007年,雖然全國32箇腫瘤登記地區子宮體癌的世標髮病率和死亡率位于世界較低水平,但其世標髮病率呈明顯上升趨勢,且部分地區如廣東省中山市和江囌省大豐市的世標髮病率與死亡率居世界較高水平,提示應加彊中國子宮體癌的防治.
목적 연구중국부분종류등기지구2003-2007년자궁체암적류행개황,위중국자궁체암적방치제공과학의거.방법 근거전국종류등기중심제공적2003-2007년수거자료,안조전국종류등기중심적표준,사선출기중수거질량교고적32개종류등기지구적자료,분석기자궁체암적발병여사망정황.결과 2003-2007년전국32개종류등기지구중,자궁체암적발병여사망총수분별위8850화1559례,분별점기동기녀성악성종류발병화사망총수적2.96％(8 850/299 306)화0.94％(1 559/166 305).자궁체암적세계표준화(세표)발병솔화사망솔분별위5.04/10만화0.83/10만,분별위동기녀성악성종류발병화사망순위적제9위화제19위；기중,세표발병솔최고적지구의차시광동성중산시、엄주시화북경시,분별위14.51/10만、8.51/10만화6.69/10만,세표사망솔최고적지구의차시광동성중산시、강소성대봉시화산동성비성시,분별위4.03/10만、3.19/10만화1.65/10만.2003-2007년전국32개종류등기지구중,자궁체암적세표발병솔정명현상승추세,종2003년적3.94/10만상승지2007년적5.56/10만,차이유통계학의의(P=0.026),기중성시적세표발병솔종2003년적4.57/10만상승지2007년적6.18/10만(P=0.038),농촌종2003년적1.74/10만상승지2007년적3.01/10만(P =0.013),차이균유통계학의의,차성시자궁체암적세표발병솔명현고우농촌(P＜0.01)；자궁체암적세표사망솔정완만상승추세,종2003년적0.64/10만상승지2007년적0.87/10만,단차이무통계학의의(P=0.214),기중성시적세표사망솔종2003년적0.66/10만상승지2007년적0.88/10만(P =0.340),농촌종2003년적0.57/10만상승지2007년적0.83/10만(P=0.070),차이균무통계학의의,단성시자궁체암적세표사망솔명현고우농촌(P＜0.01).결론 2003-2007년,수연전국32개종류등기지구자궁체암적세표발병솔화사망솔위우세계교저수평,단기세표발병솔정명현상승추세,차부분지구여광동성중산시화강소성대봉시적세표발병솔여사망솔거세계교고수평,제시응가강중국자궁체암적방치.
Objective To analyze corpus uteri epidemiology in selected cancer registering areas of China during 2003-2007,and to provide scientific information for its prevention and control in China.Methods The incident and mortality data of corpus uteri cancer in 32 cancer registering areas of China with better quality during 2003-2007,which were selected according to the criteria of and provided by National Center for Cancer Registration,were analyzed.Results There were 8850 new cases and 1559 death cases of corpus uteri cancer,which accounted for 2.96％ ( 8 850/299 306 ) of all female new cancer cases and 0.94％ ( 1 559/166 305) of all female cancer death cases,respectively.Corpus uteri cancer was the 9th most common cancer for all new female cancer cases which world age adjusted incidence rates was 5.04/105,and 19th most common cancer for all female cancer death cases which world age adjusted mortality rate was 0.83/105 in 32 selected cancer registering areas of China during 2003-2007.Zhongshan city,Guangzhou city in Guangdong province and Beijing were the areas with the highest incidence rates in which were 14.51/105,8.51/105 and 6.69/105,respectively.Zhongshan city in Guangdong province,Dafeng city in Jiangsu province and Feicheng city in Shandong province were the areas with the highest mortality rates,in which were 4.03/105,3.19/10s and 1.65/105 respectively during 2003-2007.There were increasing trends for its incidence rates in above 32 areas during 2003-2007,its world age adjusted incidence rates increased from 3.94/105 in 2003 to 5.56/105 in 2007 ( P =0.026 ),while its urban world age adjusted incidence rates increased from 4.57/105 in 2003 to 6.18/105 in 2007 (P =0.038),and rural rates increased from 1.74/105 in 2003 to 3.01/105 in 2007 ( P =0.013 ),and the results showed that urban areas obviously higher than rural areas ( P ＜ 0.01 ).Although there was a slow increasing trend for its world age adjusted mortality rates in above 32 areas during 2003-2007 which increased from 0.64/105 in 2003 to 0.87/105 in 2007 ( P =0.214 ),and from 0.66/105 in 2003 to 0.88/105 in 2007 in urban areas ( P =0.340 ),and from 0.57/105 in 2003 to 0.83/105 in 2007 in rural areas( P =0.070),while increasing trends without statistical significance.But mortality rates in urban areas were obviously higher than those of rural areas (P ＜0.01 ).Conclusions Although the world standardized incidence and mortality rates of corpus uteri cancer were at low level worldwide,there were increasing trends for its incidence rates during 2003-2007 in the 32 selected cancer registering areas of China.Moreover,its incidence and mortality rates were at high level worldwide in some areas such as Zhongshan city of Guangdong province and Dafeng city of Jiangsu province during the period,in which suggested that its prevention and control should be enhanced.
