摘要
分析应用纤维结肠镜诊断大肠癌139例的临床特点、病理类型,在下消化道出血组及非下消化道出血组对比分析中发现:出血组以左半结肠癌肿为主,非出血组以右半结肠癌肿为主。临床表现以下消化道出血占首位,其次为腹痛贫血及慢性腹泻伴便秘腹泻交替等。癌肿部位以左半结肠占多数(94/139)。病理类型以腺癌占首位(118例)。X线钡餐灌肠符合率为66.6%。息肉癌变9例。提出要重视青年人大肠癌的发现,重视下消化道出血的病因诊断,注意大肠癌与大肠息肉的关系,特别是腺瘤。
Chinical features and pathological types were analysed by fibroptic colono-
scope in 139 cases of colon cancer. The results showed that bleeding mainly occurred on the
left part of the colon. In contrast, cancers arising at right part of the colon usually did not
produce bleeding. The main clinical manifestations were lower intestinal bleeding, abdominal
pain, anemia, chronic diarrhea and alternating constipation and diarrhea. Most tumor oc-
curred within the left part of the colon(94/139) and thd majority of them were adenocarcino-
ma (118/39). The corresponding rate of barium enema was 66. 6%. The colon cancers of
nine cases developed from polyps. Attention should be paid to the finding of colon cancers in
the young, the causal diagnosis of bleeding in lower large bowel and relationships between
colon cancer and polyps of the colon, especially polypoid adenoma.
关键词
结肠镜检
息肉
腺瘤
大肠肿瘤
fiberoptic colonoscope
colon cancer
polyps
adenoma
