镇江市2008年～2009年居民恶性肿瘤死亡分析

目的：为了解镇江市主要恶性肿瘤流行特征,为制定恶性肿瘤防治策略提供依据。方法：按ICD-10的标准和方法进行死因分类,对镇江市2008年～2009年居民恶性肿瘤死亡特征及PLYY与AYLL进行分析。结果：2008年～2009年镇江市居民恶性肿瘤年均死亡率199.15/10万（男性243.80/10万、女152.56/10万）,标化死亡率146.51/10万（男性176.11/10万、女114.05/10万）,男性高于女性（P〈0.01）;前五位死因依次为胃癌、食管癌、肺癌、肝癌和结直肠癌。主要恶性肿瘤的死亡率随年龄增高而增高。该市男性和女性胃癌的PYLL顺位均居第1位,白血病居AYLL顺位第l位。结论：恶性肿瘤（尤其是消化道肿瘤）已成为危害镇江市居民的主要死亡原因之一,应根据不同人群、不同肿瘤的特点,制定有针对性的防治策略。

Analysis on epidemic characteristics of death caused by cancer among residents during 2008-2009, Zhenjiang city

Objective：By assessing the prevalence and characteristics of major malignant tumors in Zhenjiang city,this study aims to provide epidemiological basis for the prevention and control of malignant tumors.Methods：Using data from the Zhenjiang Surveillance,Epidemiology,and End Results Medicare database from 2008 to 2009,the death characteristics,PYLL as well as AYLL of malignant tumors were comprehensively analyzed according to the death classification by ICD-I0.Results：For the malignant tumor,the average annual mortality was 199.15/100000（243.80/100,000 in male and 152.56/100,000 in female,respectively）,with standardized mortality reaching 146.51/100000（176.11/100000 in male and 114.05/100000 in female,respectively）.To be noted,the mortality rate of malignant tumor in male was significantly higher than in female.The top five causes of death of malignant tumors in Zhenjiang were gastric carcinomas,esophageal cancer,lung cancer,hepatocarcinoma and colorectal cancer.And death rate of malignant tumors was increased with the increasing of age.In both male and female,gastric carcinoma was ranked the first by PYLL analysis,while Leukemia topped in AYLL ranking.Conclusion：Malignant tumors（especially the gastric carcinoma）have become one of the major causes of death among residents in Zhenjiang.Population-based,pathology-specific preventive and personalized measures against malignant tumors should be implemented immediately.