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[目的]探讨中山市1970～2007年食管癌死亡概况及规律,为中山市食管癌防治提供科学依据。[方法]收集、整理1970～2007年期间中山市食管癌死亡资料,统计分析其死亡数、死亡粗率、中国和世界标化死亡率、年龄别死亡率等指标。[结果]1970～2007年期间中山市食管癌死亡病例共1938例,其中男性1691例,女性为247例,男性食管癌死亡率为7.77/10万,女性为1.14/10万,男性死亡率显著高于女性(χ2=1070.04,P<0.001)。此外,1970～2007年期间中山市男性食管癌死亡率明显上升(趋势性检验U=3.46,P<0.01),尤以1990～2007年期间明显,其上升曲线斜率达60°左右,而女性死亡率相对较低和稳定。[结论]中山市38年来男性食管癌死亡率持续上升,接近2008年全国男性估计死亡水平,提示应加强中山市食管癌病因研究和防治工作。
[Objective] To investigate the general situation and regularity of esophageal cancer death in Zhongshan City from 1970 to 2007, and to provide a scientific basis for prevention and treatment of esophageal cancer in Zhongshan City. [Methods] The data of death from esophageal cancer in Zhongshan City from 1970 to 2007 were collected and analyzed. The number of deaths, crude fatality rate, standardized mortality rate in China and the world, and age-specific mortality were statistically analyzed. [Results] A total of 1938 cases of esophageal cancer deaths were collected in Zhongshan City from 1970 to 2007, including 1691 males and 247 females. The mortality rate of esophageal cancer in males was 7.77 / lakh and the females was 1.14 / lakh, with a significant male mortality rate Higher than female (χ2 = 1070.04, P <0.001). In addition, the mortality of esophageal cancer in Zhongshan increased significantly from 1970 to 2007 (trend test: U = 3.46, P <0.01), especially during the period from 1990 to 2007, and the slope of its ascending curve reached about 60 °, while the death of female The rate is relatively low and stable. [Conclusion] The mortality rate of male esophageal cancer in Zhongshan City has been increasing continuously for 38 years, close to the estimated death level of males in 2008 in China, which suggests that the etiological research and prevention of esophageal cancer should be strengthened in Zhongshan City.