电子结肠镜诊断结直肠癌13例分析

An analysis on diagnosis of 13 cases of colorectal cancer with electronic colonoscopy(EC)

目的探讨电子结肠镜在结直肠癌诊断中的意义。方法选取2006～2007年7月在深圳宝安区福永医院行电子结肠镜检查的288例病人作为研究对象，对其中诊断为结直肠癌的患者的临床资料进行回顾性分析。结果镜下诊断结直肠癌17例，均取活检，经活检病理诊断证实为结直肠癌13例。其中，肿瘤位于直肠6例，乙状结肠3例，降结肠1例，脾曲结肠1例，横结肠2例，未有多元癌病例。结论电子结肠镜及其镜下活检是诊断结直肠癌的一个重要手段，早期诊断对结直肠癌患者实现根治性治疗，提高生存率、生活质量有着重要的意义。

Objective To investigate the significance of electronic colonoscopy （EC） in diagnosis of colorectal cancer. Methods Electronic colonoscopy had been carried out in 288 consecutive patients in this hospital during July 2006 to July 2007, the data of patients with CRC were retrespectively reviewed and analyzed. Results 17 patients were diagnosed as CRC by EC, but CRC was confirmed in 13 cases with pathological diagnosis in their biopsy specimens. Among them, CRC was found in rectum （ n = 6 ）, sigmoid （ n = 3 ）, descending colon （ n = 1 ）, splenic flexure of colon （ n = 1 ） and transverse colon （ n = 2 ）. There was no synchronous multiple primary carcinoma seen in these patients. Conclusion EC and biopsy are main diagnostic methods for CRC. Early detection and diagnosis of CRC is important in raising cure rate, survival rate and quality of life of these patients.