CAJ | 학술논문

目的分析中国32个肿瘤登记地区2003-2007年口腔和咽喉癌的发病率与死亡率,为其防控以及公共卫生政策制定提供参考依据.方法选取32个登记地区2003-2007年肿瘤登记数据,计算不同地区、不同性别人群口腔和咽喉癌发病(死亡)率和年龄标化发病(死亡)率[中国人口标化率(中标率)和世界人口标化率(世标率)],不同年龄组的发病(死亡)率以及不同部位口腔和咽喉癌的发病(死亡)构成比.结果口、舌、唾液腺是口腔和咽喉癌最常见的好发部位.2003-2007年全国32个肿瘤登记地区口腔和咽喉癌的发病率是3.15/10万,中标率是1.75/10万,世标率是2.26/10万；同期口腔和咽喉癌的死亡率是1.37/10万,中标率是0.69/10万,世标率是0.94/万.口腔和咽喉癌的发病率和死亡率标化前后均是男性高于女性,城市高于农村；随年龄的增长呈上升趋势.年龄标化后,广东省中山市口腔和咽喉癌的发病率和死亡率居32个肿瘤登记地区之首.2003-2007年口腔和咽喉癌的各年发病中标率在不同地区和城乡人群中均略微上升,死亡率各年变化不大.结论 2003-2007年中国口腔和咽喉癌的发病率和死亡率水平较低,但由于相关危险因素暴露水平居高不下,发病率缓慢升高,仍需引起重视.
목적 분석중국32개종류등기지구2003-2007년구강화인후암적발병솔여사망솔,위기방공이급공공위생정책제정제공삼고의거.방법 선취32개등기지구2003-2007년종류등기수거,계산불동지구、불동성별인군구강화인후암발병(사망)솔화년령표화발병(사망)솔[중국인구표화솔(중표솔)화세계인구표화솔(세표솔)],불동년령조적발병(사망)솔이급불동부위구강화인후암적발병(사망)구성비.결과 구、설、타액선시구강화인후암최상견적호발부위.2003-2007년전국32개종류등기지구구강화인후암적발병솔시3.15/10만,중표솔시1.75/10만,세표솔시2.26/10만；동기구강화인후암적사망솔시1.37/10만,중표솔시0.69/10만,세표솔시0.94/만.구강화인후암적발병솔화사망솔표화전후균시남성고우녀성,성시고우농촌；수년령적증장정상승추세.년령표화후,광동성중산시구강화인후암적발병솔화사망솔거32개종류등기지구지수.2003-2007년구강화인후암적각년발병중표솔재불동지구화성향인군중균략미상승,사망솔각년변화불대.결론 2003-2007년중국구강화인후암적발병솔화사망솔수평교저,단유우상관위험인소폭로수평거고불하,발병솔완만승고,잉수인기중시.
Objective To analyze the incidence and mortality of oral and pharyngeal cancers from 32 cancer registration centers,2003 to 2007.Methods Data from 32 eligible cancer registries were included in this study.Both crude and age-standardized incidence and mortality of oral and pharyngeal cancers from 2003 to 2007 were calculated and stratified by area and gender.Age-stratified incidence and mortality,as well as the proportions of new and death cases of oral and pharyngeal cancer were also calculated at each site.Results Mouth,tongue and salivary gland were the most predilcction sitcs of oral and pharyngeal cancers.The crude incidence for both oral and pharyngeal cancers was 3.15/105 from 2003 to 2007.The age-standardized incidence rates using the Chinese population (1982) and the World Segi' s population were 1.75/105 and 2.26/105.The crude mortality of oral and pharyngeal cancer was 1.37/105 from 2003 to 2007; with age-standardized mortality rates,using the Chinese population (1982) and the World Segi' s population were 0.69/105 and 0.94/105.Both incidence and mortality were higher in males than in females,higher in urban than in rural areas,and ascended with age.Age-standardized incidence and mortality in Zhongshan city ranked first among all the cancer registration areas.Age-standardized incidences by gender and area increased slightly from 2003 to 2007,while age-standardized mortalities were stable.Conclusion Although the incidence and mortality of oral and pharyngeal cancer were low in China from 2003 to 2007,attention should also be paid since the exposure of relative risk factors did not seem to have reduced and the incidence increased slightly.