2008-2016年天津市河西区恶性肿瘤发病与死亡趋势分析

目的:分析天津市河西区恶性肿瘤发病与死亡的流行趋势，为肿瘤防治提供科学依据。方法:分析2008-2016年河西区户籍居民的肿瘤随访登记数据，计算发病率、死亡率、中国人口标化率、世界人口标化率、0~74岁累积率，并分析其时间趋势。结果:2008-2016年河西区恶性肿瘤粗发病率为370.17/10万，中标发病率为190.07/10万，世标发病率为184.09/10万，累积发病率（0~74岁）为21.13%。恶性肿瘤粗死亡率为211.80/10万，中标死亡率为92.50/10万，世标死亡率为90.98/10万，累积死亡率（0~74岁）为10.32%。恶性肿瘤发病顺位第 1 位的是肺癌，发病率为 91.30/10 万，其次为乳腺癌、结直肠癌、肝癌和胃癌，前 10 位恶性肿瘤占全部恶性肿瘤发病的 76.65%；恶性肿瘤死亡率第 1 位的是肺癌，死亡率为 75.85/10 万，其次为肝癌、结直肠癌、胃癌和胰腺癌，前 10 位恶性肿瘤占全部恶性肿瘤死亡的 81.34%。2008-2016年期间河西区恶性肿瘤发病率呈平稳上升趋势，而恶性肿瘤标化死亡率呈下降趋势。结论:2008-2016年天津市河西区恶性肿瘤的发病率呈上升趋势，肿瘤负担依然严峻。

Incidence and mortality trend of malignant tumors in Hexi District of Tianjin from 2008 to 2016

Objective:To analyze the epidemic trend of malignant tumor incidence and death in Hexi district of Tianjin.Methods:The tumor follow-up registration data of registered residents in Hexi district from 2008 to 2016 were analyzed,and the incidence rate,mortality rate,standardized rate of Chinese population,standardized rate of world population,cumulative rate of 0~74 years old were calculated,and the time trend was analyzed.Results:From 2008 to 2016,the crude incidence rate of malignant tumors in Hexi district was 370.17/100 000,standardized incidence rate of Chinese population was 190.07/100 000,standardized incidence rate of world population was 184.09/100 000,and the cumulative incidence rate (0~74 years old) was 21.13%.The crude mortality rate of malignant tumor was 211.80/100 000,standardized mortality rate of Chinese populationwas 92.50/100 000,standardized mortality rate of world populationwas 90.98/100 000,and the cumulative mortality rate (0~74 years old) was 10.32%.Lung cancer ranked first in the incidence of malignant tumors,with an incidence rate of 91.30/100 000,followed by breast cancer,colorectal cancer,liver cancer and gastric cancer,with the top 10 malignant tumors accounting for 76.65% of all malignant tumors.Lung cancer ranked first in the mortality rate of malignant tumors,with a mortality rate of 75.85/100 000,followed by liver cancer,colorectal cancer,gastric cancer and pancreatic cancer,with the top 10 malignant tumors accounting for 81.34% of all malignant tumor deaths.From 2008 to 2016,the incidence rate of malignant tumors in Hexi district showed a steady upward trend,while the standardized mortality rate of malignant tumors showed a downward trend.Conclusion:From 2008 to 2016,the incidence rate of malignant tumors in Hexi District of Tianjin showed an upward trend,and the tumor burden remained severe.