不同年龄结直肠癌患者临床及内镜特点分析  

Contrast analyse of clinical and endoscopy of patients with colorectal cancer at different age groups

作　　者：王振元[1] 唐小华[1] 刘胜雄[1] 袁帅[1] 

机构地区：[1]韶关市第一人民医院广东医学院附属韶关医院消化科,广东省韶关512000

出　　处：《中国基层医药》2006年第7期1173-1174,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨不同年龄结直肠癌患者临床及内镜特点，以提高结直肠癌早期诊断率。方法结直肠癌患者按年龄分为青年组（≤35岁）、中年组（36～59岁）、老年组（≥60岁），比较不同年龄组结直肠癌患者临床表现、内镜表现、病理资料。结果结直肠癌以中、老年人多见（占全部结直肠癌的89．8％），临床首发症状均为便血，青年组腹痛比中、老年组常见（P〈0．05）；各组均以左半结肠癌多见，共占76％，右半结肠癌占24％：中、老年组结直肠癌合并息肉的发生率高于青年组；青年组低分化腺癌较中、老年组多见。结论结直肠癌以中、老年多见，左半结肠癌较右半结肠癌多见，青年人结直肠癌低分化腺癌多见，恶性程度高，预后不良。Objective To discuss the colorectal cancer of patient at different age groups in clinical and endoscopy characteristic,in order to raise colorectal cancer early diagnosis rate. Methods According to age, patients were divided into young group （ ≤ 35 years）, middle-age group （ 36 - 59 years）, and aged group （ ≥ 60 years）, compared of clinical and endoscopy of information and pathology information. Results Colorectal cancer in middle-old people was more comme（ the 89.8 % that takes completely colorectal cancer）, clinical first ammunition symptom was having blood in stool,stomachache in young than middle-old age group was more common（ P 〈 0.05 ）;Each group were more comme with left half colon cancer, taked 76 % totally, right half colon cancer taked 24 % ;In middle-old age group occurence rate of colorectal cancer combined polyp was higher than that in young group; In young to low break up gland cancer than middle-old age group was more comme. Conclusion Coloreetal cancer in middle-old age groups is more comme, left half colon cancer is more comme than right half colon cancer, in young colorectal cancer low to break up gland cancer is more comme,malignant level has bad prognosis high.

关 键 词：结肠直肠肿瘤 结肠镜检查 

分 类 号：R735.3[医药卫生—肿瘤]