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目的探讨甘肃省妇女不同年代宫颈癌死亡水平及其分布特征。方法利用1970-1974年、1990-1992年和2004-2005年甘肃省全死因抽样调查数据,统计分析宫颈癌在不同年代、不同地区的死亡状况及变化趋势。结果甘肃省妇女1970-1974年宫颈癌调整死亡率为13.65/10万,1990-1992年为11.88/10万,2004-2005年为5.70万/10万,2004-2005年调整死亡率比1970-1974年和1990-1992年分别下降了58.24%、52.02%,1990-1992年比1970-1974年下降了12.97%,2004-2005年较1990-1992年下降明显(P<0.001)。三个年代宫颈癌死因构成分别占全癌死因的24.86%、11.67%和5.72%,居妇女癌症位次第2、第3和第5位,呈逐年下降趋势。宫颈癌地区分布明显,高发区主要集中在甘肃陇南、陇东一带。高发年龄主要在60～70岁之间。结论甘肃省宫颈癌死亡率居全国前列,近些年有所下降,但宫颈癌仍是威胁甘肃妇女健康的主要疾病。
Objective To investigate the death level and distribution of cervical cancer in women of different ages in Gansu Province. Methods The data of all-cause sampling in Gansu Province from 1970 to 1974, from 1990 to 1992 and from 2004 to 2005 were used to analyze the death status and changes of cervical cancer in different years and regions. Results The adjusted death rate of cervical cancer among women in Gansu Province from 1970 to 1974 was 13.65 / 100000, from 11.88 / 100000 in 1990-1992 to 57000/100000 in 2004-2005. The adjusted mortality rate in 2004-2005 was higher than that in 1970- Decreased by 5.24% and 52.2% respectively in 1974 and 1990-1992, decreased by 12.97% from 1990 to 1992, and decreased significantly from 2004 to 2005 (P <0.001). The death causes of cervical cancer in the three years accounted for 24.86%, 11.67% and 5.72% of the total cancer deaths respectively, ranking the second, the third and the fifth place among the cancers of women, showing a declining trend year by year. Regional distribution of cervical cancer is obvious, high incidence areas are mainly concentrated in Gansu Longnan, Longdong area. High incidence of age mainly in the 60 to 70 years old. Conclusions The death rate of cervical cancer in Gansu Province ranks the forefront of the country, but it has declined in recent years. However, cervical cancer is still the major disease threatening the health of women in Gansu Province.