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目的分析2004-2013年沈阳市肺癌发病的分布特征和变化趋势。方法利用SPSS 13.0计算粗发病率、标化发病率、年龄别发病率、平均发病年龄、男女发病率性别比值,并分析男女肺癌病理类型及其变化。结果2004-2013年沈阳市肺癌发病率为61.89/10万,标化发病率为56.08/10万,与2004年相比,2013年沈阳肺癌粗发病率由48.60/10万上升到64.61/10万,平均增长速度为3.21%,男性平均增长速度为3.13%,女性为3.48%;肺癌平均发病年龄为(66.78±11.90)岁。男女肺癌年龄别发病率随着年龄的增长而增高,均在80~岁组达到最高,且各年龄组发病率均是男性高于女性;男女肺癌发病率比值由1.79降低到了1.74。2004年肺癌患者病理类型以鳞癌为主,2013年以腺癌和小细胞癌为主。结论沈阳市男女肺癌粗发病率均呈上升趋势,女性增长速度快于男性,肺腺癌和小细胞癌构成比明显上升。
Objective To analyze the distribution and trend of lung cancer in Shenyang from 2004 to 2013. Methods The gross morbidity, normalized morbidity, age-specific morbidity, average morbidity age, male-female morbidity and sex ratio were calculated by SPSS 13.0. The pathological types and changes of lung cancer in men and women were analyzed. Results The incidence of lung cancer in Shenyang from 2004 to 2013 was 61.89 / lakh and the standardized incidence was 56.08 / lakh. Compared with 2004, the incidence of lung cancer in Shenyang increased from 48.60 / lakh to 64.61 / lakh in 2013 , With an average growth rate of 3.21%. The average growth rate of males was 3.13% and females was 3.48%. The average age of lung cancer was (66.78 ± 11.90) years. The age-specific incidence of lung cancer in men and women increased with age, reaching the highest in the 80-year-old group, and the incidence was higher in all age groups than in men; the incidence of lung cancer in men and women decreased from 1.79 to 1.74. The main pathological type of squamous cell carcinoma in 2013, mainly adenocarcinoma and small cell carcinoma. Conclusions The incidence of lung cancer in both sexes in Shenyang is on an upward trend. The growth rate of women is faster than that of men. The ratio of lung adenocarcinoma and small cell carcinoma is obviously increased.