摘要
目的 :提高肠镜检查中大肠癌的早期检出率及大肠癌术后的追踪复查。方法 :选择 1990年 1月～ 2 0 0 0年 1月发现的大肠癌 12 5例 ,经肠镜检查、手术、病理及术后追踪复查。结果 :12 5例大肠癌全部在结肠镜检查后进行手术 ,发现在 12 5例大肠癌中 ,原发癌 119例 (95 .2 % )、多原发癌 6例 (4.8% )。手术后追踪 71例 ,追踪率为 5 6 .8%。发现吻合口癌复发 14例 (19.7% ) ,异时癌 5例 (7.0 % ) ,新生的腺癌 33例 (46 .5 % )。结论 :结肠镜检查是发现大肠癌的重要手段之一 ,无论其患者是否有症状均应该在大肠癌术后定期追踪观察 ,其临床意义在于发现早期癌 。
Objective To investigate the role of colonoscopy in diagnosis before operation and in postoperation follow-up of colon cancer. Methods Analyse the data of 125 colon cancer patients during January 1990 to January 2000, including colonoscopic presentation of preoperation, pathology of operation samples and colonoscopic presentation of postoperation follow-up.Results There were 119(95.2%) solitary primary cancer patients and 6 (4.8%) synchronous primary cancers.71 of 125 (56.8%) cases had been followed after operation all the time. 14(19.7%) patients with recurrence of anastomosis site, 5(7.0%) cases with metachronous cancer and 33 (46.5%) patients with new adenomas had been found.Conclusions Colonoscopy is one of the important modalities in diagnosis of colon cancer, whether or not having symptoms, colonoscopic examination should be arranged after operation regularly in order to early find new lesions in colon.
出处
《中国内镜杂志》
CSCD
2002年第3期26-28,共3页
China Journal of Endoscopy
关键词
结肠镜
大肠癌
结肠息肉
Colonoscopy
Colon Cancer
Colonic Polyp(s)
