中国口腔颌面外科杂志 ›› 2017, Vol. 15 ›› Issue (2): 171-175.doi: 10.19438/j.cjoms.2017.02.015

• 论文 • 上一篇    下一篇

2003—2012年上海地区口腔恶性肿瘤发病状况与时间趋势分析

傅锦业1*, *, 吴春晓2*, *, 张陈平1, 孙坚1, 郑家伟1, 张志愿, 郑莹   

  1. 1.上海交通大学医学院附属第九人民医院·口腔医学院 口腔颌面-头颈肿瘤科, 上海市口腔医学重点实验室,上海 200011;
    2.上海市疾病预防控制中心 慢性非传染病与伤害防治所 肿瘤防治科,上海 200336
  • 收稿日期:2016-09-12 出版日期:2017-03-20 发布日期:2017-04-13
  • 通讯作者: 张志愿,E-mail:zhzhy639@163.com;郑莹,E-mail:zhengying@scdc.sh.cn。#共同通信作者
  • 作者简介:傅锦业(1973-),女,博士,主治医师,E-mail: fjy0712@hotmail.com;吴春晓(1981-),男,硕士,主管医师,E-mail: wuchunxiao@scdc.sh.cn。*并列第一作者

Analysis of incidence and time trend of oral malignancies in Shanghai from 2003 to 2012

FU Jin-ye1, WU Chun-xiao2, ZHANG Chen-ping1, SUN Jian1, ZHENG Jia-wei1, ZHANG Zhi-yuan1, ZHENG Ying2   

  1. 1.Department of Oromaxillofacial Head and Neck Oncology, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine;Shanghai Key Laboratory of Stomatology. Shanghai 200011;
    2.Department of Cancer Control &Prevention, Shanghai Municipal Center for Disease Control & Prevention. Shanghai 200336, China
  • Received:2016-09-12 Online:2017-03-20 Published:2017-04-13

摘要: 目的 描述上海地区2003—2012年口腔恶性肿瘤的发病流行状况,分析其时间变化趋势,探寻病因学线索。方法 根据上海市疾病预防控制中心提供的口腔恶性肿瘤发病资料,应用Excel和SPSS 17.0软件包统计口腔恶性肿瘤的发病率、性别比及年龄别发病状况;采用年均变化百分比、Z检验和加权卡方检验,分析发病率的时间变化趋势。结果 2003—2012年,上海全市共诊断口腔恶性肿瘤新发病例4935例,发病粗率为35.8/100万,发病标率为18.8/100万,性别比为1.36∶1;中位首诊年龄为63岁,女性略大于男性。发病危险度随年龄的上升而增高。10年间口腔恶性肿瘤的粗发病率总体呈上升趋势。结论 随着上海城市老龄化的发展,口腔恶性肿瘤的发病呈上升趋势,老年群体的发病状况需要引起重视。

关键词: 口腔恶性肿瘤, 发病率, 流行病学, 时间趋势, 上海地区

Abstract: PURPOSE : To analyze the incidence of oral malignancies in Shanghai from 2003 to 2012 and to study its time trend, for the purpose of searching for the clues of etiology. METHODS : Based on the incidence data of oral malignancies registered in Shanghai Municipal Center for Disease Control & Prevention, the incidence rate, sex ratio and age distribution were calculated by Excel and SPSS 17.0 software package. The time trend of the incidence of oral malignancies were studied by APC (annual percent change) model, Z-test and Cochran test. RESULTS : A total of 4935 oral malignancy cases were newly diagnosed from 2003 to 2012 in Shanghai. The crude incidence was 35.8 per 1 000 000 and the age-adjusted incidence was 18.8 per 1 000 000. The male/female ratio was 1.36:1 with the median age of 63. The average age of women was greater than man. The risk of oral malignancy increased with aging. During the 10 years' time, the crude incidence of oral malignancies in Shanghai showed an increasing trend. CONCLUSION S: With the progress of city aging trend in Shanghai, the incidence of oral malignancies was increasing. More attentions should be paid to the senile population for oral malignancies.

Key words: Oral malignancies, Incidence, Epidemiology, Time trend analysis, Shanghai

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