35例早期大肠癌的临床分析

摘要

Objective To explore the clinical characteristics,diagnostic methods and endoscopic therapy of early colorectal carcinoma( ECC) . Methods A retrospective researh was done in 35 patients with ECC. Results Among 35 ECC cases, 18 patients were male and 17 female,whose ages were from 35 to 81 years. The main cases were the silent checked and found, the others had hemafecia and abdominal pain. The spot talced the colon sigmoideum and the rectum as many( 85. 71 % ). Of the 35 patients,20 were treated by excision of polyp snare,9 were treated by EMR,6 were treated by ESD. 3 cases of postoperative pathologic specimens suggested that there was suspected cancer tissue residue, and were treated by laparoscopic surgery (8. 57% ) , 2 were prolonged bleeding after surgery ( 5. 71% ) , 1 relapsed after surgery ( 2. 86% ) , and added surgery. Conclusion ECC mostly has no clinical manifestations. Colonoscopy with biopsy is an effective method of diagnosis. Endoscopic treatment results are satisfactory,and can avoid the risk of surgery and improve patients' quality of life.%目的 探讨早期大肠癌的临床特点、诊断方法及内镜治疗.方法 对35例早期大肠癌患者的临床资料进行回顾性分析.结果 35例早期大肠癌患者中男18例,女17例,年龄35 ～ 81岁,症状以无症状检查而发现的为多,其次为便血、腹痛,部位以乙状结肠和直肠为多,占85.71％.20例行息肉圈套器切除术,9例行EMR术,6例行ESD术.3例术后病理标本提示有可疑癌组织残留而行腹腔镜手术(8.57％)；2例术后延迟性出血(5.71％)；1例术后复发(2.86％),追加外科手术.、结论 早期大肠癌大部分没有临床表现.结肠镜检查及组织活检是诊断的有效方法.内镜下治疗疗效满意,避免了外科手术的风险,提高了患者的生活质量.