86例大肠癌临床、内镜及病理特点分析

Clinical, Endoscpic and Pathological Analysis of 86 Casis with Colorectal Carcinoma

目的：探讨大肠癌近年来的发病情况，病理特点及临床、内镜诊断方法。方法：总结分析近5年来经肠镜检出并行病理确诊的86例大肠癌患者的临床，肠镜及病理资料。结果：86例大肠癌中男49例，女37例，男女之比为1．32：1。直肠癌51例，结肠癌35例（包括乙状结肠癌19例，升结肠癌8例，降结肠癌5例，横结肠癌3例），直结肠癌之比1．46：1。结论：近年来大肠癌发病趋势上升，直肠癌发病率大于结肠癌。病理仍以腺癌为主。结肠镜联合病理检查是诊断大肠癌可靠、有效的方法。

Objective To summarize ep idemiological feature, pathological characteristics and clinical, endoscopic diagnosis with 86 cases. Methods： Retrospective analyse clinical, endoscopic and pathological interrelated information of 86 cases that confirmed with colorectal carcinoma within past 5 years. Results： There were 49 casesmales and 37 cases females. Males and females ratio is 1.32 ： 1 and 51 cases rectum carcinoma, 35 cases colon carcinoma, the ratio is 1.46 ： 1. And there were 19 cases colon sigmoideum cancer, 8 cases ccolon ascendens cancer, 10 cases colon descendens cancer and 8 cases colon transversum cancer in 86 cases eolorectal carcinoma. Conclusion： Coloreetal carcinoma is increasing in recent years. Rectum carcinoma occurs more than colon carcinoma. In colorectal carcinoma they are most adenocarcinoa. The reliable and effective methods is joint pathological examination and eolonoscopy.