摘要
目的 通过对中国肝癌死亡流行分布特点分析，探讨肝癌对中国居民健康的危害。方法 对１９９０～１９９２ 年全国１／１０ 人口恶性肿瘤死亡抽样调查资料中肝癌死亡情况进行分析。结果肝癌死亡率２０．４／１０ 万（ 男性为２９．０／１０ 万，女性为１１ ．２／１０ 万） ，占全部恶性肿瘤死亡的１８ ．８ ％ ，仅次于胃癌居第２ 位。肝癌对男性的危害比女性严重，死亡性比例为２ ．５９。中国肝癌死亡率属于世界高死亡率水平，中国肝癌世界人口调整死亡率男性为３３．７／１０ 万，分别为日本的２ ．２ 倍，意大利的４．６倍；女性为１２ ．３／１０ 万，为日本的３ ．１ 倍，意大利的５ ．１ 倍。中国肝癌年龄组死亡率曲线分布有一定特征，肝癌死亡可出现于各年龄组，其中３０ ～４４ 岁组段肝癌死亡位居各肿瘤死亡的第１ 位。城乡分布为乡村略高于城市，城市男性累积死亡率为３．５％ ，女性为１ ．２％ ；乡村男性为４．１％ ，女性为１ ．６％ ，均比城市高。肝癌高发区主要在东南沿海一带，呈现一定的地理分布特征。结论 肝癌的防治仍是现在乃至今后我国恶性肿瘤防治研究之重点。
Objective To study the geographical distribution and mortality of primary liver cancer (PLC) in China from 1990 through 1992.Methods A death survey among one tenth of Chinese population was conducted in 1990 1992 and the data on PLC mortality were analyzed. Results The crude mortality for PLC was 20.4 per 100 000 population (29.0 per 100 000 for males and 11.2 per 100 000 for females), accounted for 18.8% of the total cancer deaths in 1990 1992. In China, PLC mortality ranked second after stomach cancer. The age standardized mortality rate (adjusted by the world population) of male Chinese was 33.7 per 100 000 which was 2.2 times as high as that of male Japanese and 4.6 times as high as that of male Italian. The age standardized rate of female Chinese was 12.3 per 100 000 which was 3.1 and 5.1 times as high compared to female Japanese and female Italian, respectively. PLC occurred in every age group but the mortality rate was highest in the age group of 30 44 years. The mortality was slightly higher in the rural than in the urban population. The cumulative death rate in the urban population was 3.5% for males and 1.2% for females, while that in the rural population was 4.1% for males and 1.6% for females. PLC showed geographical clustering along the south east coast of China.Conclusion To prevent primary liver cancer remains to be the major task of cancer control in China.
出处
《中华肿瘤杂志》
CAS
CSCD
北大核心
1999年第4期245-249,共5页
Chinese Journal of Oncology
基金
国家重点医学科技攻关项目"八五"基金
关键词
肝肿瘤
原发性
死亡率
流行病学
调查分析
Liver neoplasm, primary/mortality Liver neoplasm, primary/epidemiology
