李 军,何永明,江海东.四川盐亭与河北磁县1988~2007年贲门癌发病趋势分析[J].中国肿瘤,2013,22(5):344-349.
四川盐亭与河北磁县1988~2007年贲门癌发病趋势分析
Incidence Trends of Gastric Cardia Carcinoma in Yanting County and Cixian County,1988~2007
投稿时间:2012-12-04  
DOI:10.11735/j.issn.1004-0242.2013.05.2012352
中文关键词:  贲门癌  发病  年度变化百分比  食管癌高发区
英文关键词:gastric cardia carcinoma  incidence  annual percentage change  high risk areas of esophageal cancer
基金项目:
作者单位
李 军 盐亭县肿瘤研究所 
何永明 盐亭县肿瘤研究所 
江海东 盐亭县肿瘤研究所 
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中文摘要:
      摘 要:[目的] 根据四川盐亭和河北磁县肿瘤登记处数据,比较1988~2007年中国两个不同地域食管癌高发区贲门癌发病趋势的变化。[方法] 截取1988~2007年发病数据库ICD编码C16.0,组织学诊断比例76.4%~78.8%。贲门癌的发病采用y=α+βx+ε线性模型,计算年度变化百分比(APC)。[结果] 四川盐亭1988年贲门癌中标率为11.04/10万,2007年17.66/10万;河北磁县则分别为7.62/10万和37.41/10万。四川盐亭贲门癌发病呈明显上升,男女合计贲门癌发病APC 为5.89%,其中男性2.87%,女性2.84%,有统计学差异;河北磁县贲门癌发病的APC分别为7.66%、8.13%和6.46%(P=0.000)。[结论] 中国两个不同地域食管癌高发区人群20年贲门癌发病均呈现明显的增长趋势,发病显著增高的原因与ICD编码规则和内镜的临床广泛应用关系密切。
英文摘要:
      Abstract: [Purpose] To compare incidence trends of gastric cardia carcinoma in two high risk areas of esophageal cancer from 1988 to 2007. [Methods] Extracting disease code of ICD C16.0 from 1988~2007 cancer database,the morphology verified cases accounted for 76.4%~78.8%. Incidence of gastric cardia carcinoma used linear model of y=α+βx+ε to calculate annual percentage change (APC). [Results] The age-standardized incidence rates of gastric cardia carcinoma by China population in Yanting were 11.04/105 in 1988 and 17.66/105 in 2007; in Cixian the rates were 7.62/105 and 37.41/105 respectively. In Yanting,the incidence of gastric cardia carcinoma had an increasing trend,and the APC was 5.89% (2.87% for male and 2.84% for female). In Cixian,the APC was 7.66% (8.13% for male and 6.46% for female). [Conclusion] The incidences of gastric cardia carcinoma have obvious increasing trends both in Yanting and Cixian. It might correlate with coding rule of ICD and widespread using of endoscope.
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