结肠镜与钡灌肠检查在直肠癌诊疗中比较

Comparison of colonoscopy and barium enema in the diagnosis and treatment for rectal cancer

目的 :比较钡灌肠和纤维结肠镜在直肠癌诊治中的作用。方法 :本研究对北京肿瘤医院 1996年 4月 -1999年 12月住院的直肠癌手术病人进行回顾性分析 ,共收集资料全面同时进行纤维结肠镜和钡灌肠检查的病人 5 1例进行分析 ,对比两种检查方式对于直肠肿瘤及合并结肠疾病的诊断。结果 :在 5 1例直肠癌中 ,钡灌肠检查时漏诊 2例 ,对于纤维结肠镜检查发现的 8例合并存在的结肠息肉全部漏诊。结论 :在直肠癌的术前检查中纤维结肠镜检查应该作为常规的检查项目 ,而钡灌肠检查除非特殊情况下 ,一般不宜用这种方法检查同时合并的结肠病变。

Objective: to evaluate the colonoscopy and barium enema in the diagnosis and treatment of rectal cancer. Methods: we analyzed the rectal cancer cases between April 1996 and December 1999, 51 cases were assessed to compare the two diagnosis methods.Results: 2 carcinoma focal and 8 colon plops were missed in barium enema. Conclusions: colonoscopy should become a routine preoperatve methods for rectal cancer cases, barium enema was not recommend to diagnosis colon disease for rectal cancer patients, if not in particular situation.