大肠癌结肠镜检查与分析

Colonoscopic Examination and Analysis of Colorectal Cancer

目的探讨结肠镜检查大肠癌患者的发病情况及发病率。方法本组资料源于我院2013年1月至2014年6月结肠镜检查并经病理活检确诊的58例大肠癌患者。所有受检者均在电子结肠镜下观察,对有溃疡、肿块、糜烂、狭窄等肿瘤病灶部位取活检行病理诊断,明确组织类型。结果 58例大肠癌患者就诊时主要症状腹痛15例,肉眼血便10例,腹泻3例,腹部包块2例,贫血1例;所有患者粪便潜血实验阳性46例;直肠39例,左半结肠9例,右半结肠10例;溃疡型22例,肿块型27例,浸润型9例;腺癌56例,黏液腺癌2例。结论兴山县大肠癌肠镜检出率相对较高,发病部位以直肠为主,本地区应大力开展大肠癌早期诊断、早期治疗工作。

Objective To investigate the incidence and prevalence of colonoscopy colorectal cancer patients. Methods Our data from our hospital from January 2013 to June 2014 by colonoscopy and biopsy confirmed 58 cases of colorectal cancer patients.All subjects were observed in the electronic colonoscopy,to have ulcers, tumors,erosion,stenosis,tumor pathological diagnosis of the lesion biopsy taken,clear tissue types.Results 58 cases of patients with colorectal cancer is the main symptoms of abdominal pain in 15 cases,10 cases of gross blood stool,3 cases of diarrhea,abdominal mass in 2 cases,1 cases of anemia;all patients with fecal occult blood tests were positive in 46 cases;the rectum in 39 cases,9 cases of left colon,10 cases of right colon;22 cases of ulcer type,mass type 27 cases,infiltration type 9 cases;56 cases of adenocarcinoma,2 cases of mucinous carcinoma.Conclusion Endoscopic detection of colorectal cancer in Xingshan County,a relatively high rate of incidence,the rectum,the region should develop colorectal cancer early diagnosis,early treatment.