摘要
目的 :探讨大肠癌的误诊及术后复发原因。方法 :就 6 7例大肠癌的临床资料 ,回顾性分析 2 8例结肠癌和 39例直肠癌的误诊、复发原因及术后并发症的发生情况。结果 :根治性切除 5 1例 ,生存 5年以上生存率 4 5 .1% ;姑息性切除、内转流性手术、直肠癌单纯造口等均无 5年生存率。结论 :对症状可疑病例应常规作直肠指诊 ,直肠镜或纤维结肠镜检查可减少误诊率 ,提高诊断率。实施正确的手术方式 ,严格术中无瘤操作是防止术后复发的重要因素。
Objective: To study the wrong diagnoses of colorectal carcinoma and the causes of relapses after operation. Methods: 67 cases the means of clinic the wrong diagnoses and causes of relapses 28 cases of colonic cancer and 39 cases of rectal cancer and their complications after operation were analyzed retrospectively. Results: 51 cases of radical cure, The rate of the patients' existence for over 5 years is 45.1%. None of palliative excision, In-connection of intestines and man-made anus for treating rectal cancer have 5-year existence. Conclusion:We should diagnose with fingers the rectum of those cases with clinical symptoms that arouse suspicion. We can reduce the rate of wrong diagnoses with the help of proctoscopes and fibre-colonscopes. Correct ways of operation with no consequent tumour are the key factor of preventing relapse after operation.
出处
《河北医学》
CAS
2002年第10期892-894,共3页
Hebei Medicine
关键词
大肠癌
诊断
治疗
Colorectal carcinoma
Wrong diagnoses
Relapses after operation causes
