结直肠癌手术切除后患者的结肠镜检查  

Colonoscopy Surveillance after Colorectal Cancer Resection

作　　者：张文明[1] 沈俊[1] 张召珍[1] 贺益萍[1] 

机构地区：[1]复旦大学附属肿瘤医院内镜科,上海200032

出　　处：《中国临床医学》2010年第3期357-358,共2页Chinese Journal of Clinical Medicine

摘　　要：目的：通过对结直肠癌手术切除后患者行肠镜检查情况的分析,探讨结肠镜检查在结直肠癌患者术后随访中的应用价值。方法：回顾性分析2009年1年间结直肠癌术后行肠镜检查患者863例的临床资料。结果：由于术后粘连、肠腔狭窄和肠道准备差等原因,45例未完成结肠镜检查。结直肠癌术后局部复发23例（2.7%）,异时性癌症8例（0.9%）;结直肠息肉检出率：肿瘤性息肉为29.2%,非肿瘤性息肉为23.1%。结论：结直肠癌术后3~6个月以及1年内肠镜检查是早期发现结直肠癌局部复发和异时性病灶的重要措施。Objective：To study the value of colonoscopy surveillance after curative resection for colorectal cancer（CRC）.Methods： Chinical data of 863 cases with CRC resecction in 2009 were analyzed retrospectively in terms of colonoscopic manifestations.Results： The incidence of local recurrence was 2.7%,metachronous neoplasms was 0.9%,adenomatous polyps were 29.2%,no-adenomatous polyps 23.1%.Conclusions： Colonoscopy should be performed 3 to 6 months after surgery,another colonoscopy after one year to look for metachronous lesions.

关 键 词：结直肠癌 结肠镜检查 术后 

分 类 号：R735.3[医药卫生—肿瘤]