摘要
近年来,随着结直肠癌发病率的逐渐上升和人口老龄化,以肠梗阻为首发症状的结直肠癌在临床上也愈来愈多见。因老年人机体反应性较差,常并发多系统疾病,使得此类结直肠癌经常被误诊。结肠镜检查是诊断结肠癌的金标准,但对于急诊危重患者可能无法行肠镜检查,此时CT等影像学检查亦具有极高的诊断价值。本文将从老年急性肠梗阻的临床特点,结肠癌伴发肠梗阻的诊断等方面逐一阐述,并结合笔者多年的临床经验,分析总结结肠癌合并肠梗阻的误诊及原因,旨在提高早期诊断率,为此类患者的手术治疗赢得宝贵的时机。
The recent rise in colorectal cancer incidence, coupled with a larger aging population, has resulted in an increase of elderly colorectal cancer patients who initially present with intestinal obstruction. Elderly patients often manage multiple coexisting systemic diseases, which creates complications and leads to misdiagnosis in the majority of these cases. In addition, while colonoscopy is the current gold standard for the diagnosis of colorectal cancer, this procedure may be impossible for patients with emergent intestinal obstruction, further complicating diagnosis. In these cases, important diagnostic information may be obtained from other procedures, such as abdominal CT scanning, to indicate colorectal cancer. In this review, we will discuss the clinical characteristics of elderly colorectal cancer patients who initially present with acute intestinal obstruction, as well as the diagnostic tools available to correctly identify colon cancer complicated in this manner. In addition, we will discuss the common causes of misdiagnosis in such cases, as well as practices to improve the early diagnosis and surgical treatment of complicated colorectal cancer.
出处
《中华临床医师杂志（电子版）》
CAS
2014年第22期12-15,共4页
Chinese Journal of Clinicians(Electronic Edition)
关键词
结直肠肿瘤
肠梗阻
老年人
外科治疗
Colorectal neoplasms
Intestinal obstruction
Elderly
Surgical treatment
