西安地区2373例大肠癌临床分析

CLINICAL ANALYSIS ON 2373 CASES OF COLORECTAL CANCER IN XIAN AREA

本文总结分析了西安市3所医院收治大肠癌患者共2373例,作者就本组病例的年龄、症状与病程、部位与病理、临床分期、手术方式、术后并发症与死亡率,延误诊断及手术后随诊情况作了较为详尽的分析,其中主要结果为:发病高峰年龄组为40～59岁,占40％,青年人大肠癌(30岁以下)占13％,病理腺癌占88.7％,临床分期:B期和C期占80％,A期仅占20％,本组病例手术率80％,切徐率占71％,手术死亡率1.7％,手术合并症为19％,住院前延误诊断率高达64.3％,术后随诊率平均为56％,术后五年生存率平均为37％。文章还就流行病学及地理分布情况,发病率及死亡率,早期诊断及误诊,手术方式的选择和对梗阻性大肠癌及晚期大肠癌的处理等方面进行了讨论。

2373 patients with colorectal cancer were treated in three hospitals during 1980～1989 in Xian. Analysis included the patient's age, symptoms and course of disease, location and pathology, clinical stage, method of operation, postoperative complication, case fatality rate, misdiagnosis rate and post operative follow-up. The main results show that peak incidence age of colorectal cancer was 40～59 years (40％), colorectal cancer of young patients (below 30 years) was 13％. Adenocarcinoma accounted for 88.7％. Clinical stage B and C was 80％, A was only 20％. Operation rate was 80％, excision rate 71％, operative mortality 1.7％, postoperation complication rate 13％, misdiagnosis rate was high, 64％. Follow-up rate postoperatively was 56％ and survival rate for 5 years was 37％. The paper also discussed the epidemiology and geographical distribution, incidence and morbility diagnosis and misdiagnosis, selection of type of operation and management of obstructive colorectal cancer and advanced colorectal cancer.