106例35岁以下直肠癌诊治分析

Analysis about delay dignosis and treatment of 106 cases of rectal cancer under 35 years old

目的 探讨如何降低青年直肠癌的误诊率及筛选合理的治疗方案。方法 对厦门市第一医院 1987～2 0 0 2年间收治的 10 6例住院病人的临床资料进行回顾性分析。结果 初诊确定诊断 19例 ,误诊 87例 ,误诊率为82 .1% ;5年生存率 31.1%。结论 应针对青年直肠癌的特点采取相应措施 ,缩短确诊时间。应用新辅助化疗、放疗使部分病人病变降期 ,提倡应用双吻合器 ,提高病人保肛机会。健全随访制度 ,提高远期疗效。

Objective To investigate the early detection and treatment of the youth rectal cancer.Methods Retrospective analysis was made on the clinical data of 106 cases of rectal cancer at the first hospital of Xiamen City from 1987～ 2002.Result Directly dignosis is 19 cases,misdignosis is 87 cases,misdignosis rate is 82 1%.The survival rate of 5 years was 31 1%.Conclusions To adopt the suitable measure shrinks the time of dignosis for youth rectal cancer.Using the adjuvant chemotheropy and radiation before operation and staplers increase the sphincter preservation reaction.Insising postoperation follow up care to enhance the survival rate.