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[目的]分析2009~2012年湖南省肿瘤登记地区肺癌发病与死亡情况。[方法]计算肺癌的发病率、死亡率、顺位、0~74岁累积率等指标,标化率采用2000年全国人口普查人口和Segi’s标准人口结构为标准。[结果 ]2009~2012年湖南省6个肿瘤登记点人口人年数为1011.3867万人年,报告肺癌新发病例4785例,死亡病例3740例。病理诊断比例59.62%,只有死亡证明书比例3.82%,死亡/发病比为0.78。肺癌发病率47.31/10万(男性67.77/10万,女性25.44/10万),中标率35.82/10万,世标率35.66/10万,0~74岁累积率4.54%。城市地区肺癌发病率52.28/10万,农村地区45.36/10万。肺癌死亡率为36.98/10万(男性53.32/10万,女性19.51/10万),中标率为27.80/10万,世标率27.50/10万,0~74岁累积率3.43%。城市地区肺癌死亡率为44.36/10万,农村地区为34.07/10万。[结论]湖南省肺癌发病率和死亡率较高,肺癌是威胁湖南省居民健康的头号恶性肿瘤,应加强其防治研究。
[Objective] To analyze the incidence and mortality of lung cancer in Hunan Cancer Registry from 2009 to 2012. [Methods] The incidence of lung cancer, mortality, cis-position, cumulative rate of 0 ~ 74 years old and other indicators were calculated. The standardization rate was based on the 2000 national census population and Segi’s standard population structure. [Results] The population of 6 cancer registration points in Hunan from 2009 to 2012 was 10,113.867 million person-years. There were 4785 new cases of lung cancer and 3740 deaths. The proportion of pathological diagnosis was 59.62%, only the death certificate was 3.82%, and the ratio of death to illness was 0.78. The incidence of lung cancer was 47.31 / 100000 (male 67.77 / 100000, female 25.44 / 100000), the successful rate was 35.82 / 100000, the world standard rate was 35.66 / 100000, the accumulative rate of 0-74 years old was 4.54%. The incidence of lung cancer in urban areas was 52.28 / 100 000 and in rural areas 45.36 / 100 000. The death rate of lung cancer was 36.98 / 100000 (53.32 / 100000 for males and 19.51 / 100000 for females). The winning rate was 27.80 / 100000, the world standard rate was 27.50 / 100000 and the accumulative rate was 3.43%. The death rate of lung cancer in urban areas was 44.36 / lakh and in rural areas it was 34.07 / lakh. [Conclusion] The incidence and mortality rate of lung cancer in Hunan Province are high. Lung cancer is the number one malignant tumor threatening the health of residents in Hunan Province, and its prevention and treatment should be strengthened.