辽宁省结直肠癌内镜及病理特点  

Endoscopic and Pathological Features of Patients with Colorectal Cancer in Liaoning Province

作　　者：向国卿[1] 赵莹[1] 朱佳[1] 孙丽华[1] 孟晓丹 

机构地区：[1]辽宁省肿瘤医院,辽宁沈阳110042 [2]辽宁省金秋医院,辽宁沈阳110012

出　　处：《中国肿瘤》2014年第8期691-694,共4页China Cancer

摘　　要：[目的]探讨辽宁省结直肠癌的内镜及病理特点。[方法]回顾性分析经肠镜及病理确诊的782例结直肠癌的内镜及病理资料。[结果]782例结直肠癌患者共808处病变(26例患者为重复癌),其中手术治疗588例。193例(24.7%)结直肠肿瘤导致结直肠梗阻或不完全梗阻。390例(49.9%)患者并发结肠腺瘤,其中进展期腺瘤120例(30.8%)。病理类型以腺癌为主(76.8%),高浸润性癌的检出率在不同年龄组之间无显著性差异(P>0.05)。青年组低分化(G3)者占36.8%,显著性高于老年组的13.0%(χ2=14.635,P<0.01)。[结论]辽宁省结直肠癌患者就诊时,近1/3患者有肠腔梗阻或不完全梗阻,约1/2患者伴发腺瘤或进展期腺瘤。早期参加筛检有利于早期发现腺瘤及早期癌变,改善结直肠癌预后。[Purpose] To analyze the endoscopic and pathological features of patients with colorectal cancer in Liaoning province. [Methods] The data of 782 cases with colorectal cancer pathologically and eolonoseopically proved were analyzed. [Results] A total of 808 lesions were found in782 colorectal cancer patients （26 cases with repeat cancer）. Of all patients,there were 588 cases received surgical treatment. One hundred and ninety-three cases （24.7%） had eoloreetal obstruction or incomplete obstruction. Three hundred and ninety cases complicated with adenoma（49.9%）,and 120 cases （30.8%） were advanced adenomas. The main pathological type was adenoeareinoma （76.8%）. There was no significant difference of the detection rate of high invasive carcinoma between the different age groups （P〉0.05）. The proportion of poorly differentiated in youth group was significantly higher than that in elderly group （36.8% vs 13.0%,X2=14.635, P〈0.05）. [Conclusion] There is nearly a third of colorectal cancer patients have lumen obstruction or incomplete obstruction and nearly half of patients have adenomas or advanced adenoma when they for treatment. Early screening is conducive to early detection of adenoma and early cancer, and improves the prognosis of colorectal cancer.

关 键 词：结直肠癌 内镜 病理 辽宁 

分 类 号：R735.35[医药卫生—肿瘤] R735.37[医药卫生—临床医学]