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作者分析了名古屋市野恒医院肛肠科1978～1985年7年间检出的结肠肿瘤患者,重点总结筛选左半结肠肿瘤,特别是早期肠癌的诊断方法.对象和方法:7年间就诊68,106人,其中25%患者的就诊原因为便血或排便异常、肛周不适等.年龄40岁以上者占53%,男女之比为1.6∶1.初诊者均作直肠指检、直肠或乙结肠镜检;临床上高度怀疑或发现可疑迹象者作灌肠摄片或纤维结肠镜检查,甚至同一天内作此两项检查.结果:本研究组共检出腺瘤1047例(1272个),早期结肠癌208例(228个),进展期癌461例(462个),早期癌占结肠癌总数的33%.应用纤维结肠镜,初期发现早期癌占12%,以后检出率逐年增高,1984年曾高达37%.早期癌患者平均年龄男性58.8岁,女性55.5岁.
The authors analyzed patients with colonic neoplasm detected in the Department of Anorectal Surgery, Yeoheng Hospital, Nagoya City from 1978 to 1985, and focused on the screening of patients with left colon cancer, especially early-stage colorectal cancer. Objectives and methods: 68,106 patients over a seven-year period, including 25% of patients were diagnosed as having bloody stool or abnormal bowel movements, perianal discomfort, etc. The age of over 40 years accounted for 53%, and the ratio between men and women was 1.6:1. The newly diagnosed patients had rectal examination, rectal or sigmoidoscopy; clinical Those with high suspicion or suspicious signs were enrolled for enema or colonoscopy. Even these two tests were performed on the same day. Results: A total of 1047 cases (1272) of adenomas and 208 cases of early colon cancer were detected in this study group. 228), 461 cases of advanced cancer (462), early cancer accounted for 33% of the total number of colon cancer. Application of colonoscopy, early detection of early cancer accounted for 12%, after the detection rate increased year by year, in 1984 was as high as 37% The average age of early cancer patients was 58.8 years for men and 55.5 years for women.