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[目的]为了解嘉善县恶性肿瘤的死亡率及其变化趋势 ,以指导肿瘤防治工作。[方法]全部恶性肿瘤死亡病例按ICD 9编码后进行统计分析 ,并与70年代资料进行对比分析 ,用简略寿命表得出恶性肿瘤对期望寿命的损失。[结果]该县恶性肿瘤年平均死亡率为156.9/10万 ,占全死因的23.2% ,位居第二位死因。恶性肿瘤使男性期望寿命损失3.54岁、女性损失2.18岁。死亡率在7/10万以上的肿瘤是肝癌、胃癌、肺癌、食管癌、直肠癌和结肠癌 ,这6种肿瘤占全部肿瘤的77.8%。恶性肿瘤粗死亡率比70年代上升16.3% ,调整死亡率则下降34.2% ,年平均下降1.6 %。肺癌、胰腺癌、膀胱癌、胆囊(管)癌和女性乳腺癌的调整死亡率上升 ;肝癌、直肠癌、食管癌和宫颈癌的调整死亡率下降。[结论]除了继续加强对肝癌、胃癌、肺癌、直肠癌和结肠癌的防治外 ,对胰腺癌、膀胱癌、胆囊(管)癌和女性乳腺癌的防治和研究也应引起足够的重视。
[Objective] To understand the mortality of malignant tumors in Jiashan County and its changing trend to guide cancer prevention and treatment. [Methods] All the deaths of malignant tumors were statistically analyzed according to the ICD 9 code, and compared with the data of the 1970s. The life expectancy loss of malignant tumors was obtained with a simple life table. [Results] The average annual mortality rate of malignant tumors in this county was 156.9/10 million, accounting for 23.2% of the total cause of death, ranking the second cause of death. Malignant tumors caused a 3.54 year life loss for men and 2.18 years for women. Tumors with a mortality rate of more than 7/100,000 were liver cancer, gastric cancer, lung cancer, esophageal cancer, rectal cancer, and colon cancer, and these 6 tumors accounted for 77.8% of all tumors. The crude death rate of malignant tumors increased by 16.3% from the 1970s, adjusted mortality rate decreased by 34.2%, and the average annual rate dropped by 1.6%. The adjusted death rate of lung cancer, pancreatic cancer, bladder cancer, gallbladder (canal) cancer, and female breast cancer increased; the adjusted mortality rate of liver cancer, rectal cancer, esophageal cancer, and cervical cancer decreased. [Conclusion] In addition to continuing to strengthen the prevention and treatment of liver cancer, gastric cancer, lung cancer, rectal cancer, and colon cancer, attention should also be paid to prevention and research of pancreatic cancer, bladder cancer, gallbladder (canal) cancer, and female breast cancer.