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我院1979～1986年应用纤维结肠镜(下称内镜)检出大肠癌49例(其中早癌4例),占内镜检查总数1117例的4.38％。报告如下: 临床资料 男35例,女14例;年龄21～66岁,30岁以下者5例,51岁以上占45％。病程20天～3年不等,平均9.8月。临床诊断大肠癌者仅17例(35％),其余误诊为慢性结肠炎10例、溃疡性结肠炎、菌痢各3例、肠息肉2例,阿米巴痢疾、肠梗阻、肠结核各1例,以及便血、腹块、下腹痛待查等共11例。本组15例曾作钡灌肠检查、诊断和疑诊大肠癌9例,
In our hospital from 1979 to 1986, 49 cases of colorectal cancer (including 4 cases of early cancer) were detected by colonoscopy (hereinafter referred to as endoscopy), accounting for 4.38% of the total 1117 cases of endoscopy. The report is as follows: Clinical data 35 males and 14 females; aged 21-66 years, 5 patients under the age of 5, 45% over the age of 51. The duration ranged from 20 days to 3 years, with an average of 9.8 months. Only 17 cases (35%) were clinically diagnosed with colorectal cancer. The rest were misdiagnosed as 10 cases of chronic colitis, 3 cases of ulcerative colitis, 3 cases of dysentery, 2 cases of intestinal polyps, and 1 case of amoebic dysentery, intestinal obstruction, and intestinal tuberculosis. Cases, as well as blood in the stool, abdominal mass, abdominal pain to be investigated a total of 11 cases. In this group, 15 cases had had barium enema examination, diagnosis, and suspected colorectal cancer in 9 cases.