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目的:分析1988～1995年上海市区泌尿系统恶性肿瘤的生存情况,观察其趋势。方法:根据上海市肿瘤登记处积累的肿瘤登记病例和随访资料,采用寿命表法和H akulinen氏法计算相对生存率,并比较前后两个时期(4年)结果。结果:上海市区1988～1995年男性膀胱癌、肾癌、前列腺癌5年相对生存率分别为57.4%、49.9%、36.5%,女性膀胱癌、肾癌5年相对生存率分别为47.6%、53.5%;其中男性膀胱癌的生存率高于女性,但肾癌相反。不同时间段分析结果显示:1988～1991年男性膀胱癌、肾癌、前列腺癌5年相对生存率分别从53.7%、41.6%、38.0%上升至1992～1995年的57.2%、50.6%、39.1%;女性膀胱癌5年相对生存率从41.8%上升至44.7%,而女性肾癌5年相对生存率从48.0%降至47.3%。结论:上海市区泌尿系统恶性肿瘤生存率基本呈现上升趋势,但仅男性肾癌和前列腺癌的变化有统计学意义。
Objective: To analyze the prevalence of urological malignancies in Shanghai urban area from 1988 to 1995 and observe the trend. Methods: According to the accumulated tumor registration cases and follow-up data of Shanghai Tumor Registry, the relative survival rate was calculated by the life table method and H Akulinen’s method, and the results of the two periods (4 years) were compared. Results: The 5-year relative survival rates of male bladder cancer, kidney cancer and prostate cancer in Shanghai from 1988 to 1995 were 57.4%, 49.9% and 36.5% respectively. The 5-year relative survival rates of bladder cancer and kidney cancer were 47.6% 53.5%. The survival rate of male bladder cancer is higher than that of female, but the kidney cancer is the opposite. The results of different time periods showed that the 5-year relative survival rates of male bladder cancer, renal cancer and prostate cancer increased from 53.7%, 41.6% and 38.0% respectively from 1988 to 1991 to 57.2%, 50.6% and 39.1% ; 5-year relative survival rate of female bladder cancer increased from 41.8% to 44.7%, while the 5-year relative survival rate of female kidney cancer decreased from 48.0% to 47.3%. Conclusion: The prevalence of malignant tumors in urinary system in Shanghai basically shows an upward trend, but only changes in male renal and prostate cancer are statistically significant.