2015年江苏省子宫颈癌流行现状及趋势分析

目的 分析江苏省2015年子宫颈癌发病和死亡情况及2006-2015年子宫颈癌流行趋势，为开展子宫颈癌防治工作提供科学依据。方法 利用2018年江苏省疾控中心收集并质控后的35个肿瘤登记处的2015年子宫颈癌登记资料，按城市和农村地区分层，分别计算粗发病率、年龄别发病率、累计发病率（0～74岁）、粗死亡率、年龄别死亡率、累计死亡率（0～74岁）、中国人口标化率（中标率）、世界人口标化率（世标率）等指标；采用Joinpoint软件分析江苏省2006-2015年子宫颈癌发病（死亡）中标率的平均年度变化百分比（AAPC）及其95%可信区间（95%CI）。结果 江苏省2015年子宫颈癌估算新发病例数为6610例，粗发病率为17.53/10万，中标率为12.13/10万，世标率为11.22/10万，累积发病率（0~74岁）为1.19%，在女性恶性肿瘤发病顺位中居第6位。估计子宫颈癌死亡1905例，粗死亡率为5.05/10万，中标率为3.01/10万，世标率为2.87/10万，累积死亡率（0~74岁）为0.31%，在女性恶性肿瘤死亡顺位中居第8位。2006至2015年间江苏省子宫颈癌发病和死亡水平均呈明显上升趋势，发病和死亡中标率的AAPC分别为6.6%（95%CI:4.7～8.4）和5.5%（95%CI:2.9～8.2）。结论 子宫颈癌是江苏省女性的常见恶性肿瘤，其发病与死亡率逐年明显上升，且农村地区发病和死亡水平高于城市地区，应有针对性加强子宫颈癌综合防制工作。

Incidence,mortality and trend of cervical cancer in Jiangsu province

Objective To analyze the incidence and death of cervical cancer in Jiangsu Province in 2015 and the prevalence trend of cervical cancer from 2006 to 2015, andto provide scientific basis for the prevention and treatment of cervical cancer. WTHZ]Methods Using the 2015 cervical cancer registration data collected and quality-controlled by the Jiangsu Provincial Center for Disease Control and Prevention in 2018, stratified by urban and rural areas to calculate the crude incidence rate, age-specific incidence rate, and cumulative incidence rate. (0-74 years old), crude death rate, age-specific death rate, cumulative death rate (0-74 years old), Chinese population standardization rate (winning rate), world population standardization rate (world standard rate) and other indicators; adopt Joinpoint software analyzed the average annual percentage change (AAPC) and 95% confidence interval (95% CI) of the winning rate of cervical cancer incidence (death) in Jiangsu Province from 2006 to 2015. WTHZ]Results The estimated number of new cases of cervical cancer in Jiangsu Province in 2015 was 6610, the crude incidence rate was 17.53/105, the bid winning rate was 12.13/105, the world standard rate was 11.22/105, and the cumulative incidence (0-74 years old) was 1.19%, ranking sixth in the incidence of female malignant tumors. It was estimated that 1905 cases of cervical cancer died, the crude death rate was 5.05/105, the bid-winning rate was 3.01/105, the world standard rate was 2.87/105, and the cumulative death rate (0-74 years old) was 0.31%. Tumor death ranks 8th. From 2006 to 2015, the incidence and death levels of cervical cancer in Jiangsu Province showed a significant upward trend. The AAPC of the incidence and death rates were 6.6% (95% CI: 4.7-8.4) and 5.5% (95% CI: 2.9-8.2). WTHZ]Conclusion Cervical cancer is a common malignant tumor for women in Jiangsu Province. Its incidence and mortality have increased significantly year by year, and the incidence and mortality levels in rural areas are higher than those in urban areas. Therefore, comprehensive prevention and control of cervical cancer should be strengthened.