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目的分析直肠癌临床特征 ,提高其早期诊断率。方法回顾性分析 498例直肠癌的临床资料。结果低位直肠癌占 5 9.4% ,中位直肠癌 2 5 .5 % ,高位直肠癌仅为 13.1% ,癌灶分布不明 10例 ;直肠癌以大便习惯改变、腹泻、脓血便、血便、肛坠为主要临床表现 ;1个月内确诊者为 16 .3%。手术治疗 485例 ,根治性切除 394例 ,姑息性切除 48例 ,姑息性造瘘 43例。 Dukes C和 D期占 48.0 %。结论对便血、脓血便、大便习惯改变的患者 ,应高度重视并行直肠指诊
Objective To analyze the clinical features of rectal cancer and improve its early diagnosis rate. Methods The clinical data of 498 cases of rectal cancer were retrospectively analyzed. Results Low rectal cancer accounted for 5.9%, medium rectal cancer was 25.5%, high rectal cancer was only 13.1%, and the distribution of cancer foci was unknown in 10 cases. Rectal cancer was changed with bowel habits, diarrhea, pus, bloody stool, and anus The main clinical manifestations; diagnosed within 1 month was 16.3%. There were 485 cases of surgical treatment, 394 cases of radical resection, 48 cases of palliative resection, and 43 cases of palliative spasm. Dukes C and D accounted for 48.0%. Conclusion Patients with changes in bloody stool, bloody stool, and bowel habits should pay high attention to the digital rectal examination