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目的探讨湘西土家族苗族自治州古丈县和永顺县居民1992年1月～2006年12月期间原发性肝癌死亡特征。方法组织经培训的调查人员深入古丈县和永顺县逐户进行上述15年恶性肿瘤回顾抽样调查,统一填写表格和汇总,对原发性肝癌死亡情况进行分析。结果原发性肝癌死亡率22.1/10万,其中男性30.1/10万,女性12.2/10万,占全部恶性肿瘤死亡的19.83%,仅次于胃癌和肺癌,居第3位,肝癌对男性的危害比女性严重,死亡比例为2.47,原发性肝癌死亡可出现于各年龄组,死亡率属于中国高死亡水平。结论湘西土家族苗族自治州古丈县和永顺县1992～2006年原发性肝癌死亡率较高,是湖南省恶性肿瘤防治的重点,预防和控制HBV和HCV感染是主要措施。
Objective To investigate the characteristics of death from primary liver cancer from January 1992 to December 2006 among residents of Guzhang County and Yongshun County in Tujia and Miao Autonomous Prefecture. Methods The trained investigators conducted in-depth interviews with Guxiang County and Yongshun County for 15-year retrospective sampling of malignant tumors and completed the forms and compilation of the data to analyze the death of primary liver cancer. Results The mortality rate of primary liver cancer was 22.1 / 100,000, of which 30.1 / 100,000 were males and 12.2 / 100 females, accounting for 19.83% of all malignant tumors, ranking the third only after stomach cancer and lung cancer, Hazard than women, the death rate was 2.47, death of primary liver cancer can occur in all age groups, the mortality rate is high in China. Conclusion The mortality rates of primary liver cancer in Guzhang County and Yongshun County in Xiangxi Tujia and Miao Autonomous Prefecture from 1992 to 2006 are the key points in the prevention and control of malignant tumors in Hunan Province. Prevention and control of HBV and HCV infection are the main measures.