直肠类癌45例临床分析

Clinical characteristics of 45 patients with rectal carcinoid

目的分析直肠类癌的临床特征。方法回顾性分析1994年1月至2009年10月收治的45例直肠类癌患者的诊断方法、治疗方式及生物学特性。结果本组直肠类癌患者:直肠指检+肠镜+活检正确诊断率可达97.8%。45例患者中42例得到随访,随访率93.3%,5年生存率93.8%。治疗:肠镜电烧1例,肛门局部切除17例,肛局部扩大切除4例,腹肠壁楔形切除1例,根治性切除术22例。结论直肠类癌症状不典型,临床诊断率低,易误诊;消化内镜为诊断直肠类癌首选方法,结合肛诊可以提高类癌诊断率;手术切除是治疗结直肠类癌的首选方法。

Objective This retrospective study was to identify clinical characteristics of patients with rectal carcinoid.Methods In 45 patients with rectal carcinoid treated from January 1994 to October 2009,their diagnosis,treatment and pathological characteristics were reviewed.Results Approximately 97.8% of the patients were diagnosed by digital rectal examination,colonoscopy and biopsy.Of the 45 patients 42（93.3%） were followed up and the 5-year survival rate was 93.8%.Therapy included electrosection via enteroscope（1 patient）,transanal local excision（17）,expanded transanal local resection（4）,transabdominal wedge resection of the intestinal wall（1） and radical resection（22）.Conclusions The symptoms of rectal carcinoid are atypical,and misdiagnosis is common.Endoscopy in combination with digital rectal or pathological examination.is a standard method for the diagnosis of rectal carcinoid.Radical resection is a crucial treatment for rectal carcinoid