咸阳地区2003－2012年宫颈癌发病趋势分析

摘要

Objective To provide reference for developing cervical cancer prevention strategies in Xianyang by investigating and analyzing the incidence of cervical cancer , age distribution and incidence trend of women enrolled in Xianyang from 2003 to 2012.Methods Analysis was carried out on the data of 1241 patients with cervical cancer confirmed and registered in 65 secondary and higher leveled hospitals in Xianyang City from 2003 to 2012.Results Totally 1 241 new cases of cervical cancer were reported in tumor registration system of Xianyang from 2003 to 2012, with crude annual incidence rate of 36.81/100 000 and annual standardized incidence of 28.05/100 000.The crude incidence rate rose from 29.39% in 2003 to 47.39% in 2012.It increased by 161.27% with annual growth rate of 8.26%.The standardized incidence rate increased by 171.36% in 10 years, and the average annual growth rate was 8.74%.The incidence data in each age group showed a significant upward trend .The rise was highest in the group of women aged 50-64 years old, followed by the group of women<35 years old.It was 274.76%and 235.47%, respectively.The incidence of cancer was varied by occupations .There were 238 cases (19.17%) in cadres, 538 cases (43.35%) in workers and population without fixed occupation , and 465 cases (37.46%) in farmers (registered in rural household ) in 1 241 cases.Conclusion The incidence of cervical cancer shows rise trend with younger age at onset in Xianyang from 2003 to 2012.The incidence rises most quickly in the group of women aged 50-64 years old.Meanwhile, the incidence is different because of different occupations .%目的：调查分析2003至2012年咸阳地区登记的宫颈癌患者的发病率、年龄分布以及发病趋势，为制定咸阳地区宫颈癌防治策略提供参考依据。方法对2003～2012年间咸阳市二级及以上医院共65家确诊登记的宫颈癌患者1241例的发病资料与妇女病普查资料进行分析。结果2003～2012年咸阳地区肿瘤登记系统共报告宫颈癌新发病例1241例。年均粗发病率36．81／10万，年均标化发病率28．05／10万。粗发病率由2003年29．39％上升到2012年的47．39％，10年上升161．27％，年均增长速度8．26％。标化发病率10年上升171．36％，年均增长速度8．74％。纵观各年龄组发病率数据，均呈显著上升态势，其中上升幅度最高依次为50～64岁年龄组和＜35岁年龄组，上升幅度依次为274．76％和235．47％。宫颈癌发病情况也因职业而不同，1241例宫颈癌患者中干部238例（19．17％），工人与无固定职业人员538例（43．35％），农民（农村户籍）465例（37．46％）。结论2003至2012年咸阳地区宫颈癌发病率有上升的趋势，发病低龄化，50～64岁年龄组发病率上升最快，并且妇女因职业不同而引起的宫颈癌患病率不同。