结肠癌325例临床病理分析  

Clinical pathological analysis on 325 cases of colon cancer

作　　者：张建新[1] 阮戈[1] 

机构地区：[1]湖北省肿瘤医院腹泌外科,武汉430070

出　　处：《腹部外科》2003年第6期351-352,共2页Journal of Abdominal Surgery

摘　　要：目的　探讨结肠癌的临床病理特点。方法　回顾性分析本院 1 980年～ 1 994年间收治的 32 5例结肠癌病例 ,将其中 2 72例中老年人结肠癌病例与同期的 5 3例青年人结肠癌病例从临床、病理方面进行对比分析。结果　青年组以粘液腺癌、低分化腺癌为主 ,占 6 9.81 % ;中老年组以高、中分化腺癌为主 ,占 91 .91 %。两组相比 ,P <0 .0 1 ,有显著性差异。中老年组的 3、5年生存率明显高于青年组 ,P <0 .0 1 ,有显著性差异。结论　青年结肠癌与中老年结肠癌相比具有分化程度低、恶性程度高、生存率低的特点。Objective To study the clinical pathological feature of colon cancer.Methods The clinical pathological features of 272 cases of colon cancer (over 30 years old) and 53 young cases of colon cancer(a total of 325 cases)were retrospectively analyzed from 1980 to 1994.Results The pathological type of colon cancer in the young patients was mainly of mucus adnocarcinoma and low differentiated adnocarcinoma ( 69.81% ).The pathological type of colon cancer in the patients over 30 years old was mainly of high differentiated adenocarcinoma( 91.91% ).There was significant difference between the two groups ( P < 0.01 ).The 3 and 5 year survival rate in the patients over 30 years old was significantly higher than that in the young patients( P < 0.001 ).Conclusion The pathological differentiation of colon cancer in young patients was lower and their prognosis was worse than that of old patients with colon cancer.

关 键 词：结肠癌 青年 中老年 手术方式 存活率 病理特点 

分 类 号：R735.35[医药卫生—肿瘤]