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[目的]了解自然状况下的富源县贫困山区肺癌发病水平,为肺癌进一步防治研究提供基线数据。[方法]搜集2002年经云南省内省、市、县级医院一、二级诊断的富源县籍肺癌新发病例,以1998～2001年当地县级医院诊断的肺癌病例用于核查、剔除重复病例。[结果]2002年富源县新发肺癌病例366例,男、女肺癌中国人口调整发病率为59.32/10万、43.42/10万,世界调整发病率为85.15/10万、62.64/10万;男女肺癌发病率比值为1.36,而且发病率最高的乡镇女性高于男性,女性肺癌发病率是全国女性的4.6倍,男女性发病率的特点不同于其他以吸烟为主要原因的地区或人群。男女肺癌发病率从25～30岁以后明显上升,至65～74岁达到高峰。不同地域肺癌发病率相差甚大,肺癌发病率的高低与煤矿资源种类及产量分布有关。出产烟煤、以烟煤为生活燃料的北部乡镇肺癌发病率是以无烟煤、木材为燃料的南部乡镇的12.28倍。[结论]富源煤矿资源的分布和使用影响当地人群肺癌发病。加强富源肺癌动态监测和综合防治势不可待。
[Objective] To understand the incidence of lung cancer in poverty-stricken mountainous areas in Fuyuan County under natural conditions and provide baseline data for further prevention and treatment of lung cancer. [Methods] We collected new cases of lung cancer in Fuyuan County diagnosed by first and second grade in provincial, city and county hospitals in Yunnan province in 2002 and used the lung cancer cases diagnosed by the local county-level hospitals from 1998 to 2001 for verification. Case. [Results] A total of 366 new cases of lung cancer were found in Fuyuan County in 2002. The incidence of lung cancer in China was 59.32 / 100000, 43.42 / 100000, the world adjusted incidence was 85.15 / 100000, 62.64 / The incidence rate of lung cancer was 1.36, and the highest incidence of rural women than men, the incidence of lung cancer in women is 4.6 times the national women, the incidence of men and women is different from other characteristics of smoking or smoking as the main reason for the region or population. The incidence of lung cancer in men and women increased significantly from 25 to 30 years old, reaching the peak of 65 to 74 years old. The incidence of lung cancer varies greatly in different regions. The incidence of lung cancer is related to the type and yield of coal resources. The incidence of lung cancer in northern towns and villages producing bituminous and bituminous coal is 12.28 times the rate of anthracite and wood-based southern towns. [Conclusion] The distribution and use of resources in Fuyuan coal mine affected the incidence of lung cancer in the local population. To strengthen the dynamic monitoring of Fuyuan lung cancer and comprehensive prevention and treatment can not wait.