福清市2007-2009年居民恶性肿瘤发病与死亡特征调查

摘要

Objective To investigate distribution characteristics of malignant tumor incidence and mortality among the local residents before the operation of Fuqing nuclear power plant,in Fujian province.Methods A retrospective survey of malignant tumor incidence and mortality in Fuqing residents from 2007 to 2009 was carried out.The incidence and mortality distribution characteristics of total malignant tumors and main malignant tumors associated with nuclear radiation was analyzed.Results The annual malignant tumors incidence and mortality rates were 148.65/105 and 114.96/105,respectively.Liver cancer,stomach cancer,lung cancer,esophagus cancer and colorectal cancer ranked the top five.Leukemia incidence and mortality rates were 3.77/105 and 2.61/105,respectively.Thyroid cancer incidence and mortality rates were 6.95/105 and 0.46/105,respectively.Conclusions Esophageal carcinoma and lung cancer are the main malignant tumors in Fuqing city before the operation of the nuclear power plant.Leukemia incidence and mortality rates are both lower in Fuqing city than the national average level,but thyroid cancer incidence and mortality rates are both higher than the national average level.Surveillance of malignant tumors and death causes should proceeding continuously in Fuqing city,in order to evaluate the operation of nuclear power plant on local population health.%目的 调查福建省福清核电站核设施运行之前当地居民恶性肿瘤发病与死亡分布特征.方法 回顾性调查福清市2007-2009年居民恶性肿瘤发病与死亡,分析恶性肿瘤以及与核辐射相关的主要恶性肿瘤发病与死亡分布特征.结果 福清市2007-2009年居民恶性肿瘤发病率148.65/10万,死亡率114.96/10万;肝癌、胃癌、肺癌、食管癌和结直肠癌是前5位恶性肿瘤;白血病发病率3.77/10万,死亡率2.61/10万,甲状腺癌发病率6.95/10万,死亡率0.46/10万.结论 核电站运行之前,福清市恶性肿瘤以消化系肿瘤和肺癌为主;白血病发病率与死亡率低于全国平均水平,甲状腺癌发病率与死亡率高于全国平均水平.该地区应持续开展恶性肿瘤发病与死因监测,以评估核电站运行对人群健康的影响.