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目的 :提高高位直肠癌早期诊断水平。方法 :回顾性分析了我院收治的43例高位直肠癌的病例。结果 :该病与某些炎症性疾病相似 ,加之人为因素和对本病的认识不足 ,或指肛检查方法和病人的体型位置不当 ,或检查者手指短等原因 ,均易误诊或漏诊 ,故入院患者多为中晚期。本组43例中能行根治性切除的仅8例。生存5年者仅5例。结论 :对中晚期高位直肠癌便血、排便习惯、尾部坠胀与疼痛和指肛检查等进行综合分析 ,对提高本病的早期诊治具有一定的临床价值。
Objective: To improve the early diagnosis of high rectal cancer. Methods : Retrospective analysis of 43 cases of high rectal cancer in our hospital. Results: The disease is similar to some inflammatory diseases, combined with human factors and lack of understanding of the disease, or refers to the anal examination methods and the patient’s improper position, or the examiner’s fingers are short and other reasons, are often misdiagnosed or missed diagnosis, so Most patients admitted to hospital are in the middle and late stages. Of the 43 patients in this group, only 8 were able to undergo radical resection. Only 5 cases survived 5 years. Conclusion : Comprehensive analysis of the blood, stool habit, tail bulge and pain, and anal and anal examination of high rectal cancer in mid-late stage have certain clinical value in improving the early diagnosis and treatment of this disease.