纤维结肠镜检查诊断结直肠癌的评价──附106例分析报道

The evaluation of fiber colonoscopy to diagnose colorectal carcinoma -appended analysis report of 106 cases

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 thesis reported the result of fiber colonoscopy of 1430 cases, there are 106 cases was diagnosed as colon carcinoma by preoperation biopsy and pathological examine after operation, and they are staged advance (tumor with stricture type 58. 5%, ulcerwith stricture type 41. 5% ), These tumor located at following sites, rectum: 62 cases(58. 5% ), sigmoid colon: 19 cases (17. 79% ), descending colon and flexura linealiscolon: 11 cases (10. 4% ), ascending colon and flexura hepatical colon: 13 cases (12.3% ),and multifocal (ascending colon, sigmoid colon and rectum): 1 case (0. 9% ). Allcases regard the pathologic diagnose after operation as standard, 106 cases are treatedby operation, 92 cases (86. 8% ) performed radical operation or local excision, 14 casescan't be excised because there have widespread metastasis, and only receive palliativetreatment through fistulization or aorta intubate chemotherapy. This thesis discussedthe evaluation of fiber colonoscopy to diagnose colorectal carcinoma, the relation of carcinoma and adenoma. carcinoma and schistomiasis, indicated the clinical importance tofind the cancer of large intestine early.