浙江省仙居县2010~2014年上消化道癌发病、死亡分析及早诊早治效果评价

目的]分析2010～2014年仙居县上消化道癌(食管癌、胃癌)发病与死亡情况及上消化道癌早诊早治效果评价,为上消化道癌的防治提供科学依据.方法]利用2010～2014年仙居县肿瘤登记数据中上消化道癌(食管癌、胃癌)发病、死亡数据和上消化道癌早诊早治项目筛查资料,分析仙居县近年上消化道癌发病、死亡水平及变化趋势、评价筛查效果.结果]仙居县2010～2014年食管癌发病率为37.46/10万(男性44.62/10万,女性29.74/10万),死亡率为24.32/10万(男性29.77/10万,女性18.44/10万);胃癌发病率为82.48/10万(男性112.32/10万,女性50.25/10万),死亡率为52.80/10万(男性73.39/10万,女性30.57/10万).食管癌中标发病率APC为-10.0％(95％CI:-14.1％～.5.6％)、食管癌中标死亡率APC为-10.7％(95％CI:-20.2％～-0.1％)、胃癌中标发病率APC为-9.1％(95％CI:-15.1％～-2.8％)、胃癌中标死亡率APC为-8.6％(95％CI:-14.2％～-2.7％)均呈明显下降趋势,具有统计学意义.2010～2014年仙居上消化道癌早诊早治项目共完成临床筛查8532人,筛查任务完成率为100.38％,检出率为1.11％,早诊率为77.89％,治疗率为98.95％.结论]仙居县上消化道癌发病、死亡虽然呈下降趋势,但形势依然严峻,上消化道癌筛查及早诊早治不断深入开展不仅对提高患者生存质量和生存时间有重要意义,更将对仙居县上消化道癌发病、死亡产生长远影响.

Incidence and Mortality of Upper Digestive Tract Cancers and Results of Early Detection and Treatment Program in Xianju County, 2010～2014

Purpose] To analyze the incidence and mortality of upper digestive tract cancer in Xianju County during 2010～2014,and to evaluate the effect of early diagnosis and early treatment of upper digestive tract cancer program.Methods] The data of incidence and mortality of upper digestive tract cancers (esophageal cancer,stomach cancer) during 2010～2014,and the results of screening upper digestive tract cancer program in Xianju county were analyzed.Results] The crude incidence of esophageal cancer was 37.46/105(male 44.62/105,female 29.74/105),the mortality rate was 24.32/105 (male 29.77/105,female 18.44/10s).The incidence of stomach cancer was 82.48/105(male 112.32/105,female 50.25/105),the mortality rate of esophageal cancer was 52.80/105 (male 73.39/105,female 30.57/105).The Chinese ASR of incidence of esophageal cancer (APC=-10.0％,95％CI:-14.1％～-5.6％),the Chinese ASR of mortality of esophageal cancer(APC=-10.7％,95％ CI:-20.2％～-0.1％),the Chinese ASR of incidence of stomach cancer(APC=-9.1％,95％CI:-15.1％～ -2.8％)and the Chinese ASR of mortality of stomach cancer(APC=-8.6％,95％CI:-14.2％～ -2.7％)all showed a significantly downward trends.During the period from 2010 to 2014,8532 people were screened with a screening rate of 100.38％.The detection rate of upper digestive tract cancer was 1.11％.The early diagnosis rate was 77.89％ and the treatment rate was 98.95％.Conclusion] The incidence and mortality of upper digestive tract cancer in the Xianju county during 2010～2014 showed a declining trends.The screening program may play a certain role in early detection and early treatment of upper digestive tracer cancers.