11例飞行人员大肠癌临床特征分析  

Clinical features of 11 aircrew with colorectal cancer

作　　者：毛志远[1] 樊再雯[1] 朱广卿[1] 夏秀玲[1] 张淼[1] 常公民[1] 王丽虹[1] 刘亚妮[1] 晋颖[1] 李仙晓[1] 元霄梅[1] MAO Zhiyuan;FAN Zaiwen;ZHU Guangqing;XIA Xiuling;ZHANG Miao;CHANG Gongmin;WANG Lihong;LIU Yani;JIN Ying;LI Xianxiao;YUAN Xiaomei

机构地区：[1]空军总医院肿瘤内科,北京100142

出　　处：《空军医学杂志》2018年第1期7-9,共3页Medical Journal of Air Force

摘　　要：目的分析飞行人员大肠癌患者的临床特征,提高飞行人员大肠癌的诊治水平。方法回顾性分析2006年1月—2016年11月空军总医院诊治的11例飞行人员大肠癌患者的临床及病理资料。结果本组最常见症状为血便,发病年龄35~52岁,中位年龄44岁,中位飞行时间3 000 h,好发部位主要位于直肠,组织学类型以溃疡型腺癌为主,病理类型以中分化腺癌最多见。飞行时间与年龄、淋巴结转移、肿瘤大小及组织学类型相关,分化程度与神经侵犯相关,淋巴结转移除与脉管癌栓相关,肿瘤大小与肿瘤部位有关。结论飞行人员大肠癌确诊时分期较晚,必须加强对大肠癌早期临床症状的宣传和对年龄及飞行时间存在高位因素的飞行人员进行常规普查,早发现、早诊断、早治疗,提高生存率。Objective To analyze the clinical features of flying personnel with colorectal cancer and improve the diagnosis and treatment of colorectal cancer.Methods The clinical and pathological data of11f lying personnel with colorectal were retrospectively analyzed from January2006to November2016.Results The most common symptoms were bloody stool,age35-52years,median age44years,median flight time3000hours,predilection sites mainly in the rectum,histological type of ulcerative adenocarcinoma,moderately differentiated adenocarcinoma is the most common pathological type.The time of flight is related to age,lymph node metastasis,tumor size and histological type.The degree of differentiation is related to nerve invasion.Lymph node metastasis is related to tumor thrombus,and tumor size is related to tumor site.Conclusion The diagnosis of colorectal cancer staging of flight personnel was late,the early warning of early clinical symptoms of colorectal cancer and the high risk factors for age and flight time must be strengthened,early detection,early diagnosis and early treatment,improve survival rate.

关 键 词：飞行人员 大肠癌 临床特征 

分 类 号：R730.1[医药卫生—肿瘤] R85[医药卫生—临床医学]