肠镜诊断结直肠癌的临床病理分析  

Clinicopathological Analysis of Colorectal Cancer by Colonoscopy

作　　者：高慧淳[1] 邹亮[1] 周建洪[1] 张芸[1] 欧阳莉[1] 

机构地区：[1]南昌大学第三附属医院病理科,江西南昌330008

出　　处：《武汉大学学报（医学版）》2012年第6期900-901,908,共3页Medical Journal of Wuhan University

摘　　要：目的:探讨肠镜活检诊断结直肠癌的临床病理学特征。方法:回顾性分析98例经术后病理证实的结直肠癌患者肠镜活检的临床资料,并总结分析其临床病理特征。结果:98例患者性别无显著差异(P>0.05);≥55岁者(66例)显著多于<55岁者(32例)(P<0.01);病理类型以腺癌为主(83.7%),其中中分化腺癌占76.5%(75/98),低分化腺癌4.1%(4/98),黏液腺癌3.1%(3/98),未分化癌、印戒细胞癌及腺鳞癌、鳞癌等其它病理类型则较为少见;发病部位以直肠最为多见(70.5%),其次为左半结肠(26.5%)。结论:结直肠癌好发于年龄≥55岁老年人,且以直肠、左半结肠最为常见,而病理类型则以腺癌尤其是分化较高的腺癌最为常见,对于有不同程度大便习惯改变或黏液便、血便或大便性状改变等表现的老年患者进行肠镜检查,对该病的早期诊断具有重要意义。Objective： To discuss the clinicopathological characteristic diagnosis for colorectal cancer by colonoscopy.Methods： The clinical data and colonoscopy results of 98 patients with colorectal cancer confirmed by postoperative histopathologic examination were retrospective analyzed.Results： There was no significantly differences of gender between the 98 patients（P0.05）,but the patients ≥55 years（n=66） were significantly more than those 55 years（P0.01）,the most common pathological category was adenocarcinoma（83.7%）,including moderately differentiated adenocarcinoma（76.5%）,poorly differentiated adenocarcinoma（4.1%）,and mucinous adenocarcinoma（3.1%）.Other histological types were rare.Rectal cancer were the most common（70.5%）,and the left colon cancer was the second（26.5%）.Conclusion： Colorectal cancer commonly occurs at age≥55 years old;the rectum and the left colon are the most commonly involved sites;among the pathological types,adenocarcinoma,especially high differentiated adenocarcinoma,are common.It is important to perform colonoscopy early in the old patients with changes in stools.

关 键 词：肠镜 结直肠癌 病理 

分 类 号：R735.34[医药卫生—肿瘤]