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[目的]评价2008～2010年永康市食管癌发病情况。[方法]利用2008～2010年永康市社会保障局医保和农保的医疗资料中新发食管癌病例以及永康市人民医院就诊的新发病食管癌病例数据,分析性别、年龄别发病率。2008～2010年覆盖人口1703031人年,男性868777人年,女性834254人年。人口标化率采用全国1982年人口普查的人口结构和Segi’s世界标准人口结构。[结果]2008～2010年永康市恶性肿瘤新发病例4194例,食管癌新发病例127例,占3.03%。食管癌发病率为7.46/10万(男性8.98/10万、女性5.87/10万),中标率为4.32/10万(男性5.58/10万,女性3.07/10万)。食管癌年龄别发病率随年龄增长而增加,70～岁组达到高峰,为69.91/10万。各年龄组男性食管癌发病率均高于女性。[结论]食管癌是威胁永康市居民健康的重大疾病之一,应加强对食管癌的预防和控制。
[Objective] To evaluate the incidence of esophageal cancer in Yongkang from 2008 to 2010. [Method] With the data of newly diagnosed esophageal cancer in medical information of Yongkang Social Security Bureau and health insurance of Yongkang City from 2008 to 2010, and the data of newly diagnosed esophageal cancer patients treated by Yongkang People’s Hospital, the incidence of gender and age was analyzed. From 2008 to 2010, the population covered 1703031 person-years, 868777 men and 834254 women. The population standardization rate adopts the population structure of the 1982 national census and the Segi’s world standard population structure. [Results] 4194 cases of newly diagnosed malignant tumor and 127 cases of new esophageal cancer occurred in Yongkang City from 2008 to 2010, accounting for 3.03%. The incidence of esophageal cancer was 7.46 / 100000 (male 8.98 / 100000, female 5.87 / 100000), the successful rate was 4.32 / 100000 (male 5.58 / 100000, female 3.07 / 100000). Age-related morbidity of esophageal cancer increased with age, reaching a peak of 69.91 / 100,000 in the 70-year-old group. The incidence of esophageal cancer in men of all ages was higher than that of women. [Conclusion] Esophageal cancer is one of the major diseases that threaten the health of residents in Yongkang City. Therefore, prevention and control of esophageal cancer should be strengthened.