CAJ | 학술논문

目的研究浙江省肿瘤登记地区2000-2009年子宫颈癌发病与死亡状况.方法 2000-2009年子宫颈癌发病与死亡数据来源于浙江省6个肿瘤登记区,并经浙江省癌症中心审核、整理和统计分析,计算发病率及变化趋势.根据中国1982年人口普查的人口结构计算中国人口结构标化发病率、死亡率(简称中标发病率、中标死亡率),并根据Segi's世界人口构成计算世界人口构成标化发病率、死亡率(简称世标发病率、世标死亡率).结果 2000-2009年浙江省子宫颈癌合计发病率为11.78/10万(3 491/29641 984),中标发病率为7.05/10万,世标发病率为8.26/10万;死亡率为1.89/10万(560/29641 984),中标死亡率为0.95/10万,世标死亡率为1.23/10万.发病率随着年龄增长呈现不同变化趋势,45岁达到最高,为23.03/10万(578/2 510099),50岁之后又呈下降趋势,而死亡率则随着年龄增长而平缓增加,在85岁以上达到最高,为11.94/10万(33/276 414).发病率从2000年的5.96/10万(86/1443 589),升高到2009年的18.90/10万(898/4751 426),年度平均变化率(APC)为16.64％ (95％ CI:ll.87％～21.61％).子宫颈癌死亡率则呈平缓上升趋势,死亡率从2000年的1.45/10万(21/1 443 589)升高到2009年的2.53/10万(120/4751 426),APC为6.63％(95％CI:1.73％～11.77％).结论 2000-2009年浙江省肿瘤登记地区子宫颈癌发病有年轻化趋势且发病率与死亡率呈逐年上升趋势,应加强子宫癌防治工作.
목적 연구절강성종류등기지구2000-2009년자궁경암발병여사망상황.방법 2000-2009년자궁경암발병여사망수거래원우절강성6개종류등기구,병경절강성암증중심심핵、정리화통계분석,계산발병솔급변화추세.근거중국1982년인구보사적인구결구계산중국인구결구표화발병솔、사망솔(간칭중표발병솔、중표사망솔),병근거Segi's세계인구구성계산세계인구구성표화발병솔、사망솔(간칭세표발병솔、세표사망솔).결과 2000-2009년절강성자궁경암합계발병솔위11.78/10만(3 491/29641 984),중표발병솔위7.05/10만,세표발병솔위8.26/10만;사망솔위1.89/10만(560/29641 984),중표사망솔위0.95/10만,세표사망솔위1.23/10만.발병솔수착년령증장정현불동변화추세,45세체도최고,위23.03/10만(578/2 510099),50세지후우정하강추세,이사망솔칙수착년령증장이평완증가,재85세이상체도최고,위11.94/10만(33/276 414).발병솔종2000년적5.96/10만(86/1443 589),승고도2009년적18.90/10만(898/4751 426),년도평균변화솔(APC)위16.64％ (95％ CI:ll.87％～21.61％).자궁경암사망솔칙정평완상승추세,사망솔종2000년적1.45/10만(21/1 443 589)승고도2009년적2.53/10만(120/4751 426),APC위6.63％(95％CI:1.73％～11.77％).결론 2000-2009년절강성종류등기지구자궁경암발병유년경화추세차발병솔여사망솔정축년상승추세,응가강자궁암방치공작.
Objective To investigate the cervical cancer incidence and mortality in cancer registries of Zhejiang province during 2000 to 2009.Methods The data of cervical cancer incidence and mortality were collected from six cancer registries in Zhejiang province.Staff of Zhejiang Provincial Cancer Prevention and Control Office checked,sorted and analyzed the data to calculate crude,standardized rate and trend.Chinese census in 1982 and Segi's population were used for age-standardized incidence and mortality rates.Results The incidence rate of cervical cancer in Zhejiang cancer registration areas was 11.78/100 000 during 2000 to 2009,and age-standardized incidence rates by Chinese standard population and by world standard population were 7.05/100 000 and 8.62/100 000,respectively.The mortality rate was 1.89/100 000,and age-standardized mortality rates by Chinese standard population and by world standard population were 0.95/100 000 and 1.23/100 000,respectively.The age-specific incidence rates showed different trends,increased significantly after the age of 25,peaked at 45-year-old group,which was 23.03/100 000(578/2 510 099),and decreased at the age of 50,while the age-specific mortality rates gentlely increased,peaked at 85 years of age group,which was 11.94/100 000(33/276 414).The cervical Cancer Incidence from 5.96/100 000 (86/1 443 589) in 2000,increased to 18.90/100 000 (898/4 751 426) in 2009,the annual percent change (APC) was 16.64％ (95 ％ CI:11.87％-21.61％).The mortality showed a gentle upward trend from 1.45/100 000(21/1 443 589),increased to 2.53/100 000 (120/4751 426) in 2009,the APC was 6.63％ (95％ CI:1.73％-11.77％).Conclusion Cervical strengthen the prevention and control of cervical cancer.cancer showed younger trend,the incidence and mortality trends showed an increasing trend,should