| 董建梅,李伟伟,秦绪成.2007—2015年田湾核电站周围地区恶性肿瘤发病分析[J].中国肿瘤,2021,30(2):124-130. |
| 2007—2015年田湾核电站周围地区恶性肿瘤发病分析 |
| Cancer Incidence in 0~30 Km Area Around Tianwan Nuclear Power Plant，2007—2015 |
| 中文关键词 修订日期：2020-03-26 |
| DOI：10.11735/j.issn.1004-0242.2021.02.A004 |
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| 中文关键词: 恶性肿瘤 发病率 田湾核电站 |
| 英文关键词:cancer incidence Tianwan Nuclear Power Plant |
| 基金项目:江苏省卫生计生委预防医学科研课题（Y2015030） |
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| 中文摘要: |
| 摘 要：［目的］ 研究2007—2015年田湾核电站周围0~30公里地区恶性肿瘤的发病情况及变化特点。［方法］ 根据连云港市恶性肿瘤登记系统收集的恶性肿瘤发病资料，计算田湾核电站周围地区恶性肿瘤的发病率、标化发病率、累积率（0~74岁）、变化百分比( percentage change，PC)、年度变化百分比( annual percentage change，APC)和前10位恶性肿瘤发病顺位等指标。［结果］ 2007—2015年田湾核电站周围地区恶性肿瘤平均粗发病率为234.73/10万，中标率为172.45/10万，世标率为167.70/10万，累积率（0~74岁）为19.36%。肺癌、肝癌、胃癌、女性乳腺癌、结直肠癌和食管癌是田湾核电站周围地区常见恶性肿瘤。田湾核电站周围地区男性恶性肿瘤发病率高于女性。2007—2015年田湾核电站周围地区人群恶性肿瘤粗发病率随时间变化无明显变化趋势（P>0.05），但全人群和男性的中标率均随时间变化呈现下降趋势（P<0.05），APC分别为-2.82%、-3.64%。全人群恶性肿瘤发病率在0~39岁处于较低水平，40岁以后出现快速上升，在75~79岁组人群达到最高峰。田湾核电站周围地区人群甲状腺癌中标率低于全国水平，但白血病中标率高于全国和江苏省水平。［结论］ 2007—2015年田湾核电站周围0~30公里地区人群恶性肿瘤主要癌谱与全国和江苏省的情况相似，发病水平总体低于全国、江苏省的同期水平，但白血病发病水平高于全国和江苏省的水平，建议后期对白血病进行更深入的研究。 |
| 英文摘要: |
| Abstract：［Purpose］ To investigate the cancer incidence in 0~30 km area around Tianwan Nuclear Power Plant from 2007 to 2015.［Methods］ The crude incidence，age-standardized incidence rate by Chinese standard population(ASIRC)，age-standardized incidence rate by world standard population(ASIRW)，cumulative incidence rate(0~74 years old)，the top 10 leading cancers，percentage change(PC)，and annual percentage change(APC) were analyzed by using the data from Lianyungang cancer registration system.［Results］ From 2007 to 2015，the average annual crude incidence of cancer in 0~30 km area around Tianwan Nuclear Power Plant was 234.73/105，ASIRC and ASIRW were172.45/105 and 167.70/105，respectively，with the cumulative incidence rate(0~74 years old) of 19.36%.Lung cancer，liver cancer，gastric cancer，female breast cancer，colorectal cancer，and esophageal cancer were the most common cancers in this area. The incidence of cancer in male was higher than that in female. From 2007 to 2015 the crude cancer incidence rate did not show a significant change(P>0.05)，but the overall ASIRC and male ASIRC of cancer were decreased significantly(P<0.05)，and the APC was -2.82% and -3.64%，respectively. The age-specific incidence rate of cancer before 39 years old was lower，then increased rapidly，and reached the peak at the age group of 75~79 years.The ASIRC of thyroid cancer was lower than that of the national level，but the ASIRC of leukemia was higher than that of the national level and Jiangsu Province from 2007 to 2015.［Conclusion］ From 2007 to 2015，in 0~30 km area around Tianwan Nuclear Power Plant，the major cancers were similar to those in China and Jiangsu Province，and the cancer incidence was lower than that of China and Jiangsu Province，but the incidence of leukemia was higher than that of China and Jiangsu Province，suggesting that further studies on leukemia are needed in the future. |
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