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目的:了解2008~2015年广州市海珠区结直肠癌发病情况,分析发病趋势,为我区结直肠癌防控工作提供科学依据。方法:根据广州市肿瘤登记处2008~2015年的恶性肿瘤发病数据,计算发病例数、粗发病率、年龄别发病率、中国标化发病率(中标率)、世界标化发病率(世标率)、年均增长率,利用Join Point软件对发病率变化趋势进行分析,计算年度变化百分比(APC值)。结果:2008~2015年广州市海珠区结直肠癌发病率61.48/10万,其中男性66.18/10万,女性56.66/10万;中标率25.73/10万,其中男性29.03/10万,女性22.63/10万;世标率34.83/10万,其中男性39.48/10万,女性30.54/10万。2008~2015年,海珠区结直肠癌发病率以6.49%的速度上升,男性上升速度为8.23%,女性上升速度为4.55%,男性快于女性。调整年龄结构后,上升速度变缓,以每年0.28%的速度上升,男性上升速度为1.84%,而女性为下降趋势,APC值为-1.73%。结论:2008~2015年广州市海珠区结直肠癌发病率高于全国平均水平,总体呈上升趋势。应加强结直肠癌的综合防控工作,提高早诊早治水平。
Objective: To understand the incidence of colorectal cancer in Haizhu District of Guangzhou City from 2008 to 2015, and to analyze the trend of the incidence and provide a scientific basis for the prevention and control of colorectal cancer in our district. Methods: According to the data of malignant tumor from 2008 to 2015 in Guangzhou Tumor Registry, the incidences of cases, crude morbidity, age-related morbidity, standardized incidence in China (successful rate), standardized incidence in the world Rate), average annual growth rate, using Join Point software analysis of the trend of incidence, calculate the annual percentage change (APC value). Results: The incidence rate of colorectal cancer in Haizhu District of Guangzhou from 2008 to 2015 was 61.48 / 100000, of which 66.18 / 100000 for males and 56.66 / females for females; the successful rate was 25.73 / 100000, of which 29.03 per 100,000 males and 22.63 / 100,000; world standard rate of 34.83 / 100000, of which 39.48 / 100000 males, 30.54 / 100000 females. From 2008 to 2015, the incidence of colorectal cancer in Haizhu District increased by 6.49%, the rate of increase of males was 8.23%, the rate of increase of females was 4.55%, and the rate of males was faster than that of females. After adjusting for the age structure, the rate of increase slowed down, rising at a rate of 0.28% per annum, with a rate of 1.84% for males and a downward trend for females, with an APC value of -1.73%. Conclusion: The incidence of colorectal cancer in Haizhu District of Guangzhou City from 2008 to 2015 is higher than the national average, and the overall trend is increasing. Should strengthen the comprehensive prevention and control of colorectal cancer work, improve early diagnosis and treatment of early stage.