门诊结肠镜检查诊断大肠肿瘤效果评价  

Estimating the effect of diagnosing tumor in large intestine by using the colonoscopy for the out-patients

作　　者：李腾庆[1] 何波[1] 黄力言[1] 

机构地区：[1]广东省农垦中心医院消化科,广东湛江524002

出　　处：《河北医学》2003年第12期1075-1077,共3页Hebei Medicine

摘　　要：目的 :探讨有下消化道症状的门诊患者行结肠镜检查对诊断大肠肿瘤的临床意义。方法 :1997年 1月至 2 0 0 3年 7月对 2 0 2 4例具有下消化道症状而就诊的患者行结肠镜检查。结果 :结肠镜为息肉的患者中常见的消化道症状分别为腹泻 (2 4 .2 % )、便血 (31.4 % )和腹痛 (11.8% )。结肠镜诊断为癌肿患者中常见的消化道症状占分别为便血 (5 1.7% )和脓血便 (15 .6 % )。癌肿和息肉多发于直肠和乙状结肠 ,癌肿病灶在直肠和乙状结肠的比例分别为 32 .9%及 30 .5 % ,息肉病灶在直肠和乙状结肠的比例分别为 2 7.0 %及 30 .9%。结论 :对有下消化道症状的患者中结肠镜检查是一安全、简便且经济省时的方法 ,对于提高早期结肠癌的的诊断率及治疗都具有重要的意义。Objective: To determine the clinical significance of diagnosing tumor in large intestine by using the colonoscopy for the out-patients suffering from lower digestive tract trouble. Methods: To use the colonoscopy for 2024 outpatients suffering from lower digestive tract trouble in the period from January 1997 to July 2003. Result: In those who were diagnosed as polyp, the commonly encountered symptom was diarrhea(24.2%), having blood in their stool(31.4%), or bellyache(11.8%). While being diagnosed as cancer, it was having blood in their stool(51.7%), or sanguinopurulent stool(15.6%). The cancer and polyp always appeared in rectum or sigmoid flexure. The property of cancer appearing in rectum was 32.9%, in sigmoid flexure was 30.5%. The property of polyp appearing in rectum was 27.0%, in sigmoid flexure was 30.9%. Conclusion: The colonoscopy is a safety, convenient, economical and time-saved solution to the out-patients suffering from lower digestive tract trouble. It is significant to increase the diagnostic proportion of early colon cancer and treat it.

关 键 词：结肠镜 大肠肿瘤 腹泻 

分 类 号：R735.3[医药卫生—肿瘤]