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本文总结分析了西安市3所医院收治大肠癌患者共2373例,作者就本组病例的年龄、症状与病程、部位与病理、临床分期、手术方式、术后并发症与死亡率,延误诊断及手术后随诊情况作了较为详尽的分析,其中主要结果为:发病高峰年龄组为40～59岁,占40％,青年人大肠癌(30岁以下)占13％,病理腺癌占88.7％,临床分期:B期和C期占80％,A期仅占20％,本组病例手术率80％,切徐率占71％,手术死亡率1.7％,手术合并症为19％,住院前延误诊断率高达64.3％,术后随诊率平均为56％,术后五年生存率平均为37％。文章还就流行病学及地理分布情况,发病率及死亡率,早期诊断及误诊,手术方式的选择和对梗阻性大肠癌及晚期大肠癌的处理等方面进行了讨论。
This article summarized and analyzed 2373 cases of colorectal cancer patients in 3 hospitals in Xi’an. The authors diagnosed and diagnosed the cases with age, symptoms and course of disease, site and pathology, clinical stage, surgical methods, postoperative complications, and mortality. A detailed analysis of the follow-up after surgery was performed. The main results were: peak age group aged 40-59 years, accounting for 40%; young people with colorectal cancer (under 30 years old) accounting for 13%; pathological adenocarcinoma accounting for 88.7%. Clinical stage: B and C accounted for 80%, and A accounted for only 20%. In this group, the surgical rate was 80%, the rate of cut-sliding was 71%, the operative mortality was 1.7%, and the surgical complication was 19%. The rate of delayed diagnosis was as high as 64.3%. The average follow-up rate after surgery was 56%. The average 5-year survival rate after surgery was 37%. The article also discussed epidemiology and geographical distribution, morbidity and mortality, early diagnosis and misdiagnosis, choice of surgical methods and treatment of obstructive colorectal cancer and advanced colorectal cancer.