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目的 :通过对结肠癌临床特征的分析 ,强调结肠癌的早期诊断及纤维结肠镜在结肠癌临床诊断中的意义。方法 :对经手术及结肠镜病理检查证实的 10 6例结肠癌临床资料进行分析。结果 :右半结肠癌占 3 2 1% ,左半结肠癌占 67 9% ,结肠癌共同临床表现为腹部不适、大便习惯性改变、便血、腹部肿块、贫血及梗阻。其中 ,便血占 2 8% ,梗阻占 14 % ,以左半结肠癌多见 ;而贫血占2 7% ,腹部肿块占 2 3 % ,则以右半结肠癌多见。结论 :要提高对结肠癌的警惕性 ,特别是对有上述临床表现的患者 ,强调纤维结肠镜在结肠癌早期诊断中的作用
Objective: To analyze the clinical features of colon cancer and emphasize the early diagnosis of colon cancer and the significance of colonoscopy in clinical diagnosis of colon cancer. Methods: The clinical data of 106 cases of colon cancer confirmed by operation and colonoscopy were analyzed. Results: The right colon cancer accounted for 32.1%, the left colon cancer 67%. The common clinical manifestations of colon cancer were abdominal discomfort, habit of bowel movement, blood in the stool, abdominal mass, anemia and obstruction. Among them, hematochezia accounted for 28%, obstruction accounted for 14%, more common in the left colon cancer; and anemia accounted for 27%, abdominal tumor accounted for 23%, then more common in the right colon cancer. CONCLUSIONS: To increase alertness to colon cancer, especially in patients with these clinical manifestations, emphasize the role of fibro-colonoscopy in the early diagnosis of colon cancer