浙江省永康市2008~2010年食管癌发病分析

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。

An Analysis on Incidence of Esophageal Cancer from 2008 to 2010 in Yongkang City, Zhejiang Province

Purpose] To investigate the incidence of esophageal cancer from 2008 to 2010 in Yongkang city,Zhejiang province. Methods] The data of medical record of new patients with esophageal cancer were collected from Yongkang Medical Security Office and Yongkang First People’s Hospital. The data covered a population of 1 703 031 person-year（male 868 777 person-year, female 834 254 person-year）. Incidence,age-specific incidence,age-standardized incidence and proportion were analyzed.Chinese population sensus in 1982 and Segi’s population were used for age-standardized incidence. Results] The total newly diagnosed cancer cases from 2008 to 2010 were 4 194,and the new esophageal cancer cases were 127 with a proportion of 3.03%.The crude incidence of esophageal cancer was 7.46/10 5 （male 8.98/10 5 ,female 5.87/10 5 ）,age-standardized incidence by Chinese standard population（ASR China） was 4.32 /10 5 （male 5.58/10 5 ,female 3.07/10 5 ） in Yongkang city.The age-specific incidence increased with age increased,and the 70～ years old group reached the highest level with incidence of 69.91/10 5 . Conclusion] The incidence of esophageal cancer is still high in Yongkang city from 2008 to 2010,prevention and control for esophageal cancer should be strengthened.