CAJ | 학술논문

目的：探讨新源县恶性肿瘤发病的分布特征，为卫生行政机构有针对性地开展肿瘤的防治工作提供参考依据。方法对2009-2012年新疆新源县疾病预防控制中心登记报告的居民恶性肿瘤发病资料进行ICD-10分类，按年龄、性别、民族、恶性肿瘤类型进行描述性分析。结果2009-2012年新源县恶性肿瘤累计发病数1419例，发病率为1299．7/10万，其中男性发病数为810例，发病率为1437．8/10万。女性发病数609例，发病率为1152．5/10万，男女性别比为13．3∶1，男女性恶性肿瘤发病率差异有统计学意义（ P ＜00．1）。恶性肿瘤发生主要分布在35～79岁年龄段。新源县最常见的5种恶性肿瘤分别为胃癌、食管癌、肺癌、肝癌、乳腺癌，占全部恶性肿瘤病例数的587．0％。汉族癌症发病率前5位的依次是肺癌、胃癌、食管癌、肝癌及结直肠癌。哈萨克族癌症发病率前5位的依次是食管癌、胃癌、支气管肺癌、肝癌及结直肠癌。哈萨克族食管癌和胃癌发病率高于汉族。结论新源县肿瘤发病率呈上升趋势。不同性别、民族发病率不同。需要针对不同人群制定相应政策．进一步加强健康教育，改变生活方式，从而降低恶性肿瘤发病率，做到早发现、早诊断、早治疗。
목적：탐토신원현악성종류발병적분포특정，위위생행정궤구유침대성지개전종류적방치공작제공삼고의거。방법대2009-2012년신강신원현질병예방공제중심등기보고적거민악성종류발병자료진행ICD-10분류，안년령、성별、민족、악성종류류형진행묘술성분석。결과2009-2012년신원현악성종류루계발병수1419례，발병솔위1299．7/10만，기중남성발병수위810례，발병솔위1437．8/10만。녀성발병수609례，발병솔위1152．5/10만，남녀성별비위13．3∶1，남녀성악성종류발병솔차이유통계학의의（ P ＜00．1）。악성종류발생주요분포재35～79세년령단。신원현최상견적5충악성종류분별위위암、식관암、폐암、간암、유선암，점전부악성종류병례수적587．0％。한족암증발병솔전5위적의차시폐암、위암、식관암、간암급결직장암。합살극족암증발병솔전5위적의차시식관암、위암、지기관폐암、간암급결직장암。합살극족식관암화위암발병솔고우한족。결론신원현종류발병솔정상승추세。불동성별、민족발병솔불동。수요침대불동인군제정상응정책．진일보가강건강교육，개변생활방식，종이강저악성종류발병솔，주도조발현、조진단、조치료。
Objective To investigate the distribution characteristics of the incidence of malignant tumor in Xinyuan County so as to provide the health administration with a reference basis to carry out the work of tumor prevention and treatment .Methods Data from 2009 -2012 malignant tumor incidence of Xinyuan County CDC registration report residents were classified by ICD-10 .According to age ,gender ,nationality , malignant tumor types were analyzed by descriptive analysis .Results From 2009 -2012 the cumulative number of malignant tumor in Xinyuan County was 1 419 with incidence rate of 129 9.7/105 .The incidence rate was 143 7.8/105 in 810 male cases and 115 2.5/105 in 609 female cases .The sex ratio of male and fe-male was 1 3.3 .The incidence of 35-79 age groups reached the highest level and accounted for 86 6.1% of the total number .The 5 most common malignant tumors in Xinyuan County are gastric cancer ,esophageal cancer ,lung cancer ,liver cancer and breast cancer ,accounting for 58 7.0% of all .T he top five incidence rate of Han cancers fall into lung cancer ,gastric cancer ,esophageal cancer ,liver cancer and colorectal cancer .T he top five incidence rate of Kazak cancers fall into esophageal cancer ,gastric cancer ,lung canc-er ,liver cancer and colorectal cancer .Esophageal cancer and gastric cancer incidence rate of Kazak are higher than that of Han .Conclusion The tumor incidence rate in Xinyuan County is rising .Different gen-der ,different nationalities have different rates of onset and need to formulate corresponding policies ac-cording to different people .To further strengthen health education ,life style changes ,so as to reduce the incidence rate of malignant tumor ,discover ,diagnose and treat it early .