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总结我院近10年收治结肠恶性肿瘤及手术治疗状况。103例中男66例,女37例。年龄14~79岁。全部病例均经术后病理学确诊为恶性肿瘤。103例中有腹痛症状者占76.6%、男性为75.8%,女性为78.4%;其次为血便占46.6%,男性为48.5%,女性43.2%;大便性状改变、腹部包块、便秘和梗阻分别为41.7%、36.9%和24.3%。在结肠肿瘤3种主要实验室检查中,以纤维结肠镜和钡剂灌肠摄片检查阳性符合率较高,达到92.9%和90.2%,而FOBT阳性符合率为74.4%。103例中乙状结肠癌46例(44.7%),盲肠、升结肠癌34例(33%),横结肠癌12例(11.7%),降结肠痛11例(10.6%)。本组病例中左半结肠切除42例,占40.8%,右半结肠切除30例,占29.1%,横结肠切口除9例,占8.7%,乙状结肠切除8例,占7.8%,单纯造瘘和姑息切除各7例。
Summarize the malignant tumors and surgical treatment of colon in our hospital for the past 10 years. There were 66 males and 37 females in 103 cases. Age 14 to 79 years old. All cases were diagnosed as malignant by postoperative pathology. Among 103 cases, 76.6% had abdominal pain symptoms, 75.8% were males, and 78.4% were females. Bloody stools accounted for 46.6%, males were 48.5%, and women were 43.2%. Changes in stool traits, abdominal mass, constipation and obstruction were 41.7%, 36.9% and 24.3%. In the three main laboratory tests of colon cancer, the positive rate of colonoscopy and barium enema enema was higher, reaching 92.9% and 90.2%, while the positive rate of FOBT was 74.4%. In 103 cases, 46 cases (44.7%) had sigmoid colon cancer, 34 cases (33%) had cecum, 35 cases of ascending colon cancer, 12 cases (11.7%) of horizontal colon cancer, and 11 cases (10.6%) of descending colon pain. In this group of patients, 42 cases of left colon resection, accounting for 40.8%, 30 cases of right colon resection, accounting for 29.1%, 9 cases of transverse colon incision, accounting for 8.7%, 8 cases of sigmoidectomy, accounting for 7.8%, simple fistula and palliative Seven cases were removed.