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目的分析沈阳市食管癌发病、死亡现况及其变化,为食管癌防治提供科学依据。方法对沈阳市2009-2013年食管癌发病与死亡数据进行分析。结果 2009-2013年沈阳市食管癌发病率为7.65/10万(男性13.42/10万,女性2.07/10万),中标率为3.11/10万(男性5.35/10万,女性0.76/10万)。发病率从2009年的9.46/10万下降到2013年的7.47/10万,下降了21.04%(χ~2_(趋势)=10.807,P<0.001)。食管癌死亡率为7.88/10万(男性13.73/10万,女性2.22/10万),中标率为2.91/10万(男性4.97/10万,女性0.73/10万)。2009-2013年沈阳市食管癌死亡率虽有所上升,但经检验,无统计学意义。食管癌年龄别发病率和死亡率均随年龄增长而升高,45岁以后上升明显,并均在85岁以上组达到高峰。45岁以上食管癌发病和死亡分别占发病、死亡总数的98.15%和99.10%。结论食管癌是威胁沈阳市居民健康的主要恶性肿瘤之一,应加强对食管癌的预防和控制。
Objective To analyze the incidence and mortality of esophageal cancer in Shenyang and to provide scientific evidence for the prevention and treatment of esophageal cancer. Methods The data of incidence and mortality of esophageal cancer in Shenyang from 2009 to 2013 were analyzed. Results The incidence of esophageal cancer in Shenyang was 7.65 / 100000 (13.42 / 100000, 2.07 / 100000) in 2009-2013. The successful rate was 3.11 / 100000 (5.35 / 100000 for males and 0.76 / 100000 for females) . The incidence dropped from 9.46 / 100,000 in 2009 to 7.47 / 100,000 in 2013, a decrease of 21.04% (χ ~ 2_ (trend) = 10.807, P <0.001). The death rate of esophageal cancer was 7.88 / 100,000 (13.73 / 100,000 males and 2.22 / 100 females), with a winning rate of 2.91 / 100,000 (4.97 / 100,000 males and 0.73 / 100,000 females). Although the esophageal cancer mortality in Shenyang City increased during 2009-2013, it was not statistically significant after the test. Age-related morbidity and mortality of esophageal cancer increased with age, and increased significantly after 45 years of age, reaching the peak in the group of over 85 years old. The incidence and mortality of esophageal cancer over 45 years old accounted for 98.15% and 99.10% of the total, respectively. Conclusion Esophageal cancer is one of the major malignant tumors that threaten the health of residents in Shenyang. Esophageal cancer should be strengthened and controlled.