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本文报告1430例纤维结肠镜检查结合镜下活检及手术病理确诊为大肠癌者106例,均为进展期癌(肿块伴狭窄型58.5%,溃疡伴狭窄型41.5%)。。肿瘤位于直肠62例(58.5%),乙状结肠19例(17.97%),降结肠、脾曲结肠11例(10.4%),升结肠、肝曲结肠13例(12.3%),多部位(升结肠、乙状结肠、直肠同时存在)1例(0.9%)。全部病例以手术切除后病理结果为标准,106例均经手术检查,92例(86.8%)行根汉手术或局部切除,14例(13.2%)困病变广泛转移未能切除,仅做造屡或动脉插管姑息治疗。本文讨论了纤维结肠镜对结直肠癌确诊的价值。癌与腺瘤、癌与血吸虫病的关系,提示早发现大肠癌的临床重要性。
This paper reports 106 cases of colorectal cancer diagnosed in 1430 cases of colonoscopy combined with biopsy and surgical pathology. They were all advanced cancers (tumors with stenosis 58.5%, ulcers with stenosis 41.5%). . The tumor was located in the rectum in 62 cases (58.5%), the sigmoid colon in 19 cases (17.97%), descending colon, splenic flexure in 11 cases (10.4%), and ascending colon and hepatic colon in 13 cases (12.3% ) Multiple sites (ascending colon, sigmoid colon, and rectum) existed in 1 case (0.9%). All cases were based on pathological findings after surgical resection. 106 cases were all examined by surgery. 92 cases (86.8%) underwent radical surgery or local excision, and 14 cases (13.2%) failed to be removed due to extensive metastases. Do only palliative treatment or arterial intubation. This article discusses the value of colonoscopy in the diagnosis of colorectal cancer. The relationship between cancer and adenoma, cancer and schistosomiasis suggests the clinical importance of early detection of colorectal cancer.