结肠镜检查在大肠癌手术治疗中的临床价值  

Clinical value of colonoscopy in surgical treatment of colorectal cancer

作　　者：叶震世[1] 吴艳环[1] 钟燕[1] 

机构地区：[1]厦门大学医学院第一临床学院(厦门中山医院)消化科,361004

出　　处：《中国内镜杂志》2003年第11期40-41,52,共3页China Journal of Endoscopy

摘　　要：目的　探讨结肠镜检查对大肠癌手术的临床作用。方法　分析 116例经病理证实的大肠癌的临床资料、术前结肠镜检查结果和手术治疗情况。结果　结肠镜诊断大肠癌的符合率为 98.3% (114 /116 ) ,其中直肠癌检出率为 5 3.4 % ,直肠癌肛检阳性率 82 .3% ;青年人大肠癌占 3.4 % (4/116 ) ,早期大肠癌占 5 .2 %(6 /116 ) ;BorrmannⅠ型、Ⅱ型、Ⅲ型 ,手术根治率分别为 83.3%、75 .9%、6 0 %。结论　结肠镜检查有助于判断大肠癌的部位、范围、程度和进展情况 。Objective: To investigate the clinical value of colonoscopy to the surgery, of colorectal cancer.Methods:A total of 116 patients with colorectual cancer confirmed by pathological examination participated in the study.The clinical characteristics, the results of colonoscopies and operations were analyzed within all the patients. Results:The diagnostic accuracies of colorectal cancer by colonoscopy was 98. 3%, 53.4% of which were rectal cancer, and 82.3% of patients with rectal cancer were detected by anus examination; 3. 4% of patients with colorectal cancer were young people (4/116) ,5.2% were in early stage ;the radical resection rates of Borrmann Ⅰ , Ⅱ, Ⅲ type were 83. 3% , 75. 9% and 60% respectively.Conclusions: Colonoscopy can help to determine the location, extension grade and progress of colorectal cancer, but can't be used for preoperative staging and selection of operative modes.

关 键 词：大肠癌 结肠镜检查 

分 类 号：R735.34[医药卫生—肿瘤]