成都市2005-2010年女性乳腺癌发病和死亡趋势分析

摘要：目的分析成都市2005-2010年女性乳腺癌发病和死亡情况，为开展乳腺癌干预措施和确定乳腺癌研究方向提供依据。方法对成都市2005-2010年慢性病发病监测和居民死亡原因网报系统中乳腺癌发病和死亡资料进行分析。采用国际死因分类法（ICD-10）进行死因分类。采用Excel2007及SPSS软件进行统计学分析。结果成都市女性乳腺癌报告发病率从2005年9．71／10万到2010年23．24／10万，上升139％，呈明显上升趋势（P〈0．01）；40～44岁和55～64岁年龄组上升速度快；城市（23．12／10万）明显高于农村（12．27／10万），农村涨幅（164．89％）高于城市（97．07％），差异均有显著性（P〈0．01）。成都市女性乳腺癌死亡率从2005年5．11／10万到2010年6．18／10万，呈缓慢上升趋势（P〈0．01）；45～54岁年龄段死亡率呈明显下降趋势。结论成都市女性乳腺癌发病率和死亡率均呈上升趋势。

Analysis on the Tendency of Incidence and Mortality of Female Breast Cancer in Chengdu City from 2005 to 2010

Objective To analyze the incidence and mortality of female breast cancer in Chengdu City from 2005 to 2010. Methods Data of the new cases and all died cases of female breast cancer during year 2005 to 2010 from direct reporting system of chronic disease and mortality surveillance network in Chengdu city were classified according to ICD-IO and analyzed by Excel 2007 and SPSS software. Results The incidence of female breast cancer in 2010 （23.24/100 000） was 1.39 times as high as that in 2005 （9.71/100 000） in Chengdu City. Breast cancer incidence increased significantly in female aged 40-44 and 55-64. Breast cancer incidence was higher in urban female （23.12/100 000） than that in rural female （12.27/100 000）; However, the increasing range of later incidence was higher in the rural （164.89%） than in the urban （97.07%）. Mortality rates of breast cancer was on an ascending curve from 5.11/100 000 in 2005 to 6.18/100 000 in 2010, mortality in female aged 45-54 decreased significantly. Conclusion The incidence of female breast cancer tended to be higher in the young in Chengdu City. The mortality of female breast cancer was slightly increased and the mortality peak postponed gradually in Chengdu City.