摘要： 目的：通过了解上海市区2005—2009年来，头颈部恶性肿瘤的流行病谱及发病变迁，为更好的制定预防头颈恶性肿瘤发生、发展的策略，提供理论依据。方法：对上海市疾控中心提供的2005-2009年，上海市区各项恶性肿瘤的数据资料进行描述性统计分析。结果：上海市区2005-2009年，头颈恶性肿瘤累计发病人数为7 264例，发病率呈上升趋势，男女年平均发病标化率分别为12.68/10万及16.07/10万，其中2009年标化率分别跃居全身恶性肿瘤的第5位以及第2位。头颈肿瘤内发病率居前3位的分别为甲状腺癌、鼻咽癌以及喉癌，其中以甲状腺癌上升趋势最为明显，而口腔癌的发展则趋向于平稳。结论：近5年来，上海市区头颈恶性肿瘤发病率整体呈上升趋势，其中以甲状腺癌上升最为明显，甲状腺癌的快速上升可能与电离辐射以及高碘摄入有关。而口腔癌的平稳趋势则提示近年来上海市区口腔卫生保健工作取得了一定的效果。

关键词: 头颈部；  , 恶性肿瘤；  , 发病率；  , 流行病学分析；  , 上海

Abstract: Objective:  To analyze the changes of incidence and epidemiology of head and neck malignant tumor from 2005 to 2009 in Shanghai. Methods:  Using descriptive statistical method to analyze the clinical data provided by Shanghai Center for Disease Control and Prevention from 2005 to 2009 in Shanghai. Results: In the 5 year period, a total of 7 264 cases suffered from carcinoma of the head and neck. The standard incidences of men and women were 1.268 per million and 1.607 per million respectively, which ranked the fifth and second in the pathogenesis of systematic cancers. The most common cancers happened in head and neck region were thyroid cancer, followed by nasopharyngeal carcinoma and laryngeal cancer. Shanghai population suffered by thyroid cancer manifested a  trend of growth, while oral cancer declined or being steady. Conclusion: During the recent five years, the incidence of head and neck malignant tumor was increased, especially for the thyroid cancer. The increased thyroid cancers may be associated with ionizing radiation or higher salt intake. The decreased oral cancer may indicate that people in Shanghai city have a benefit from the work for the oral health care.

Key words: head and neck, malignant, incidence, epidemiology, Shanghai

中图分类号: 

• R739.8

• R181.32