2010—2012年山东省监测点居民恶性肿瘤死亡及减寿分析

 目的 通过分析2010—2012年山东省居民恶性肿瘤死亡及减寿情况，为开展恶性肿瘤的防治提供有效的科学依据。方法 通过计算死亡率、标化死亡率、潜在减寿年数、减寿率和平均减寿年数等指标进行分析。结果 恶性肿瘤死亡率为170.93/10万，标化死亡率为147.22/10万；居民恶性肿瘤死亡的前5位，依次是肺癌、胃癌、肝癌、食管癌、结直肠癌；恶性肿瘤合计的潜在减寿年数（PYLL）为240 474人/年，减寿率（PYLLR）为1.61‰，平均减寿年数（AYLL）为20.71年。PYLLR排在前5位的依次是肺癌、肝癌、胃癌、食管癌和白血病。而AYLL前5位则是白血病、脑恶性肿瘤、乳腺癌、淋巴癌和肝癌。结论 肺癌、胃癌、肝癌、食管癌和结直肠癌是对山东省居民危害最大的恶性肿瘤，乳腺癌是女性恶性肿瘤死亡的重要原因，应有针对性的开展防治工作，提高人群的生存质量。

Death of Malignant Tumors and Potential Years of Life Lost Among Residents in Shandong Province, 2010-2012

Objective By analyzing residents malignant tumor death situation and potential years of life lost in Shandong Province from 2010 to 2012, to carry out effective scientific basis for the prevention and treatment of malignant tumors. Methods We calculated the indexes such as death rate, standardized mortality, potential years of life lost, life lost rate and average year of life lost. Results The mortality of malignant tumor was 170.93/100 000, and the standardized mortality was 14 722/100 000; the top five of malignant tumor mortality among residents was followed by lung cancer, gastric cancer, liver cancer, esophageal cancer, colorectal cancer; total potential years of life lost(PYLL) of malignant tumor was 240474 person years, the rate of potential years of life lost (PYLLR) was 1.61%, and the average years of life lost (AYLL) was 20.71 years. The top five of PYLLR were lung cancer, liver cancer, stomach cancer, esophageal cancer and leukemia. And the top five of AYLL were leukemia, brain cancer, breast cancer, lymphoma and ovarian cancer. Conclusion Lung cancer, stomach cancer, liver cancer, esophageal cancer and colorectal cancer are the most dangerous malignant tumor in Shandong Province. Breast cancer is an important cause of female malignant tumor death. The specific prevention and treatment should be carried out to improve the quality of life of the population.