论文部分内容阅读
目的 :分析1992—2012年天津市河西区肺癌发病情况和时间趋势。方法 :收集整理天津市肿瘤登记系统1992—2012年河西区户籍人口的肺癌发病数据,分析肺癌粗发病率、标化发病率、发病构成比、年龄别发病率、累积发病率、截缩发病率、变化百分比和年均变化百分比,并分析天津市河西区户籍人群中男女性肺癌的发病状况和时间趋势。结果 :1992—2012年,天津市河西区累计新发肺癌8 177例,粗发病率为53.66/10万,中标率为31.81/10万,世标率为31.74/10万。男性肺癌粗发病率和标化发病率均高于女性;肺癌占所有恶性肿瘤新发病例的23.56%,位居恶性肿瘤新发病例的第1位;0~64岁累积发病率为1.49%,0~74岁累积发病率为4.05%;35~64岁截缩发病率为39.83/10万,65岁以上截缩发病率为274.89/10万;肺癌发病率在20岁后随着年龄增长而上升,40岁以上开始增长明显,80~84岁达到发病高峰(发病率为334.79/10万)。肺癌发病率总体呈上升趋势,从1992年的34.99/10万,上升到2012年的87.37/10万,增长了149.70%,年均变化百分比为4.68%。女性年均增长率略高于男性。肺癌标化发病率亦呈上升趋势,但增速降低。结论 :天津市河西区的肺癌发病率呈上升趋势,65岁以上人群是肺癌的高危人群,应引起高度重视。
Objective: To analyze the incidence and time trend of lung cancer in Hexi District of Tianjin from 1992 to 2012. Methods: The data of lung cancer incidence in registered population of Hexi District from 1992 to 2012 were collected and analyzed. The crude incidence rate, standardized incidence rate, morbidity ratio, age-related morbidity, cumulative morbidity, truncated morbidity , The percentage of change and the percentage of average annual change, and analyzed the incidence and time trend of lung cancer in men and women in Hexi district of Tianjin. Results: From 1992 to 2012, a total of 8 177 cases of newly diagnosed lung cancer were found in Hexi District, Tianjin. The crude incidence rate was 53.66 / 100 000, the winning rate was 31.81 / 100,000 and the world standard rate was 31.74 / 100,000. The incidence of crude and standardized incidence of lung cancer were higher in males than in females; lung cancer accounted for 23.56% of new cases of all malignant tumors, ranking first in new cases of malignant tumors; cumulative incidence of 0-64 years was 1.49% The cumulative incidence of 0 ~ 74 years old was 4.05%. The incidence of truncation of 35-64 years old was 39.83 / 100000, the incidence of truncation was 274.89 / 100000 over 65 years old. The incidence of lung cancer increased with age Rise over the age of 40 began to grow significantly, 80 to 84 years to reach the peak incidence (the incidence was 334.79 / 100,000). The overall incidence of lung cancer is on an upward trend from 34.99 per 100 000 in 1992 to 87.37 per 100 000 in 2012, an increase of 149.70% with an average annual percentage change of 4.68%. The average annual growth rate of women is slightly higher than that of men. The standardized incidence of lung cancer also showed an upward trend, but the growth rate decreased. Conclusion: The incidence of lung cancer in Hexi District of Tianjin is on the rise. People over 65 years of age are at high risk of lung cancer, which should be given high priority.