166例大肠癌患者临床特征及流行病学分析

Clinical Features and Epidemiological Analysis of 166 Patients with Col-orectal Cancer

目的探究河南省郑州市某社区166例大肠癌患者的临床特征,探究其流行病学特征。方法回顾性分析河南省郑州市某社区2013年1月—2015年5月接收的166例大肠癌患者的临床资料。结果中老年人易发大肠癌,男性患病率高,病理分型多为中、高分化腺癌;在大肠癌Duckes分期上,A期18例,B期30例,C期46例,D期72例;在大肠癌变肠断分布状况上,横结肠14例,升结肠20例,乙状结肠22例,直肠86例,降结肠24例。结论大肠癌易发直肠部位,临床表现缺乏代表性,误诊率高,故应强化大肠癌临床病理分析,重视早期诊断与治疗。

Objective To explore the clinical features of 166 patients with colorectal cancer in a community of zhengzhou in henan province and their epidemiological characteristics. Methods The clinical datum of 166 patients with colorectal cancer admitted from January 2013 to May 2015 in a community of zhengzhou in henan province were retrospectively analyzed. Results The elderly were easily to get colorectal cancer among whom the prevalence rate of men was higher and the pathological type mainly showed middle and high differentiated adenocarcinoma; in Duckes staging of colorectal cancer, among 166 cases, there were 18 patients in stage A, 30 cases in stage B, 46 cases in stage C and 72 cases in stage D; in the distribution of intestines with colorectal cancer,there were 14 cases with transverse colon, 20 cases of ascending colon, 22 cases of sigmoid colon, 86 cases of rectum and 24 cases of descending colon. Conclusion The parts which are easily to get colorectal cancer are rectums. The clinical manifestations are not typical and the misdiagnosis rate is relatively high. So the clinical pathological analysis of colorectal cancer should be strength-ened and importance should be attached to early diagnosis and treatment.