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本文总结分析了我院与日本金(氵尺)大学收治的结肠癌病例.对各自的特点进行了分析、指出了共性及特性.其共性为:右侧结肠癌的症状均以腹痛为主,而左侧则以血便为主;右侧结肠癌低分化腺癌及粘液腺癌明显多于左侧;两组的5年生存率均在60%以内,不使人满意.特性为:中国结肠癌发病年龄较日本约提前十年左右;右侧结肠癌中国多于日本,左侧结肠癌日本多于中国,其原因可能是多发生于左侧结肠的溃疡性结肠炎日本较中国多见,故由此发生的癌变亦为日本多于中国;日本早期癌的比例明显高于中国,显与医疗条件不同有关.了解这些特性,对提高诊治水平有重要意义.
This article summarizes and analyzes the cases of colon cancer treated by our hospital and Japan’s Kim (Michigaki) University. The characteristics of each are analyzed and the commonalities and characteristics are pointed out. The commonalities are: the symptoms of right colon cancer are mainly abdominal pain. The left side is dominated by bloody stools; the right colon cancer poorly differentiated adenocarcinoma and mucinous adenocarcinoma are significantly more than the left side; the 5-year survival rate of both groups is within 60%, not satisfactory. Characteristics: Chinese colon The age of onset of cancer is approximately ten years earlier than that of Japan; right colon cancer is more common in China than Japan, and left colon cancer is more common in Japan than in China. The reason may be ulcerative colitis that occurs more often in the left colon than in Japan. Therefore, the occurrence of cancerous changes is more in Japan than in China. The proportion of early cancers in Japan is significantly higher than that in China. It is obviously related to different medical conditions. Understanding these characteristics is of great significance in improving the level of diagnosis and treatment.