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[目的]分析2010~2014年仙居县上消化道癌(食管癌、胃癌)发病与死亡情况及上消化道癌早诊早治效果评价,为上消化道癌的防治提供科学依据。[方法]利用2010~2014年仙居县肿瘤登记数据中上消化道癌(食管癌、胃癌)发病、死亡数据和上消化道癌早诊早治项目筛查资料,分析仙居县近年上消化道癌发病、死亡水平及变化趋势、评价筛查效果。[结果]仙居县2010~2014年食管癌发病率为37.46/10万(男性44.62/10万,女性29.74/10万),死亡率为24.32/10万(男性29.77/10万,女性18.44/10万);胃癌发病率为82.48/10万(男性112.32/10万,女性50.25/10万),死亡率为52.80/10万(男性73.39/10万,女性30.57/10万)。食管癌中标发病率APC为-10.0%(95%CI:-14.1%~-5.6%)、食管癌中标死亡率APC为-10.7%(95%CI:-20.2%~-0.1%)、胃癌中标发病率APC为-9.1%(95%CI:-15.1%~-2.8%)、胃癌中标死亡率APC为-8.6%(95%CI:-14.2%~-2.7%)均呈明显下降趋势,具有统计学意义。2010~2014年仙居上消化道癌早诊早治项目共完成临床筛查8532人,筛查任务完成率为100.38%,检出率为1.11%,早诊率为77.89%,治疗率为98.95%。[结论 ]仙居县上消化道癌发病、死亡虽然呈下降趋势,但形势依然严峻,上消化道癌筛查及早诊早治不断深入开展不仅对提高患者生存质量和生存时间有重要意义,更将对仙居县上消化道癌发病、死亡产生长远影响。
[Objective] To analyze the incidence and mortality of upper digestive tract cancer (esophageal and gastric cancer) and the evaluation of early diagnosis and treatment of upper digestive tract cancer in Xianju County from 2010 to 2014 so as to provide a scientific basis for the prevention and treatment of upper gastrointestinal cancer. [Methods] According to the data of upper gastrointestinal cancer (esophageal and gastric cancer) incidence and mortality in Xianju County from 2010 to 2014 and the screening data of early diagnosis and treatment of upper gastrointestinal cancer, The incidence of cancer, the level of death and trends, evaluation of screening results. [Results] The incidence of esophageal cancer in Xianju from 2010 to 2014 was 37.46 / 100000 (44.62 / 100000 for males and 29.74 / 100000 for females), the mortality rate was 24.32 / 100000 (29.77 / 100000 for males and 18.44 / The incidence of gastric cancer was 82.48 / 100000 (112.32 / 100000 for men and 50.25 / 100000 for women). The mortality rate was 52.80 / 100000 (73.39 / 100000 males and 30.57 / 100000 females). The incidence rate of successful esophageal cancer APC was -10.0% (95% CI: -14.1% -5.6%), the success rate of esophageal cancer was -10.7% (95% CI: -20.2% -0.1%), and the successful rate of gastric cancer The incidence of APC was -9.1% (95% CI: -15.1% -2.8%). The mortality rate of gastric cancer with APC was -8.6% (95% CI: -14.2% -2.7%), Statistical significance. From 2010 to 2014, Xianju upper gastrointestinal cancer early diagnosis and early treatment project completed a total of 8532 clinical screening, screening task completion rate was 100.38%, the detection rate was 1.11%, the rate of early diagnosis was 77.89%, the treatment rate was 98.95 %. [Conclusion] The incidence and mortality of upper digestive tract cancer in Xianju County are decreasing, but the situation is still grim. The screening and early diagnosis and treatment of upper digestive tract cancer are not only important to improve the quality of life and survival time of patients Will Xianju County incidence of upper gastrointestinal cancer, death have a long-term impact.