王妍敏, 熊建菁, 鲍萍萍, 杨晓明, 高文君, 张敏. 上海市静安区甲状腺癌流行现况分析[J]. 上海预防医学, 2020, 32(10): 829-834. DOI: 10.19428/j.cnki.sjpm.2020.19238
引用本文: 王妍敏, 熊建菁, 鲍萍萍, 杨晓明, 高文君, 张敏. 上海市静安区甲状腺癌流行现况分析[J]. 上海预防医学, 2020, 32(10): 829-834. DOI: 10.19428/j.cnki.sjpm.2020.19238
WANG Yan-min, XIONG Jian-jing, BAO Ping-ping, YANG Xiao-ming, GAO Wen-jun, ZHANG Min. Analysis on the prevalence of thyroid cancer in Jing′an District, Shanghai[J]. Shanghai Journal of Preventive Medicine, 2020, 32(10): 829-834. DOI: 10.19428/j.cnki.sjpm.2020.19238
Citation: WANG Yan-min, XIONG Jian-jing, BAO Ping-ping, YANG Xiao-ming, GAO Wen-jun, ZHANG Min. Analysis on the prevalence of thyroid cancer in Jing′an District, Shanghai[J]. Shanghai Journal of Preventive Medicine, 2020, 32(10): 829-834. DOI: 10.19428/j.cnki.sjpm.2020.19238

上海市静安区甲状腺癌流行现况分析

Analysis on the prevalence of thyroid cancer in Jing′an District, Shanghai

  • 摘要:
    目的探讨和分析上海市静安区甲状腺癌流行现况,为预防和干预措施提供科学依据。
    方法采用上海市肿瘤登记报告系统数据分析静安区2005—2014年甲状腺癌流行状况、发病趋势和死亡趋势。
    结果2005—2014年静安区甲状腺癌新发病例共2 430例,位居肿瘤发病顺位的第4位,粗发病率为24.33/10万,标化发病率为16.67/10万,发病性别比男性:女性为0.34 : 1,性别间差异有统计学意义(χ2=579.77,P < 0.01),不同年龄段的甲状腺癌发病率差异有统计学意义(χ2=419.90,P < 0.01),发病率最高的为45~64岁组,其次为15~44岁组;而死亡病例仅为155人,死亡发病比为1 : 15.68;静安区2005—2014年甲状腺癌标化发病率呈上升趋势(χ趋势2=7.33,P < 0.01),年度变化百分比(APC)为20.69%(男性APC为23.81%,女性为19.44%);2005—2014年标化死亡率均处于较低水平,变化趋势差异无统计学意义。
    结论政府和社会应高度重视甲状腺癌高检出率和低死亡率的现状,防控的重点应是大量甲状腺癌患者的合理诊治。

     

    Abstract:
    ObjectiveTo explore and analyse the prevalence of thyroid cancer among population of Jing′an District, Shanghai, providing a scientific basis for prevention and intervention.
    MethodsAnalysis was made on the prevalence of thyroid cancer in Jing′an District in 2014 and its incidence and death trend from 2009 to 2014 based on the data of Shanghai Cancer Registration and Reporting System.
    ResultsFrom 2005 to 2014, the total number of thyroid cancer cases in Jing′an District were 2 430, ranking fourth of all malignant tumors.The crude incidence rate of thyroid cancer was 24.33/100 000, the standardized incidence rate was 16.67/100 000.The ratio of male to female was 0.34 : 1;the difference in incidence between male and female was significant(χ2=579.77, P < 0.01).In different age groups the difference in incidence was also statistically significant(χ2=419.90, P < 0.01).The highest incidence was in 45-64 years old group, followed by 15-44 years old group. Only 155 deaths occurred; the ratio of death to morbidity was 1 : 15.68.Standardized incidence of thyroid cancer was increasing in Jing′an District from 2005 to 2014(trend Chi-square tests, χ2=7.33, P < 0.01).APC was 20.69%(male 23.81%, female 19.44%).The standardized mortality rate from 2005 to 2014 was at a relatively low level, and the trend of change was not statistically significant.
    ConclusionThe government and society should pay high attention to the status of high detection rate and low mortality rate of thyroid cancer.The focus of prevention and control is rational diagnosis and treatment for a large number of thyroid cancer patients.

     

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