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目的探讨早期大肠癌的临床特点、诊断方法及内镜治疗。方法对35例早期大肠癌患者的临床资料进行回顾性分析。结果 35例早期大肠癌患者中男18例,女17例,年龄35～81岁,症状以无症状检查而发现的为多,其次为便血、腹痛,部位以乙状结肠和直肠为多,占85.71%。20例行息肉圈套器切除术,9例行EMR术,6例行ESD术。3例术后病理标本提示有可疑癌组织残留而行腹腔镜手术(8.57%);2例术后延迟性出血(5.71%);1例术后复发(2.86%),追加外科手术。结论早期大肠癌大部分没有临床表现。结肠镜检查及组织活检是诊断的有效方法。内镜下治疗疗效满意,避免了外科手术的风险,提高了患者的生活质量。
Objective To investigate the clinical features, diagnosis and endoscopic treatment of early colorectal cancer. Methods The clinical data of 35 patients with early colorectal cancer were analyzed retrospectively. Results 35 patients with early colorectal cancer in 18 males and 17 females, aged 35 to 81 years old, asymptomatic symptoms were found more, followed by blood in the stool, abdominal pain, parts of the sigmoid colon and rectum, accounting for 85.71% . Twenty cases underwent polyps excision, 9 cases underwent EMR and 6 underwent ESD. Laparoscopic surgery (8.57%) was performed in 3 cases of pathological specimens suggesting suspicious cancerous tissue remnants, delayed bleeding in 2 cases (5.71%), and postoperative recurrence in 1 case (2.86%). Surgery was performed. Conclusion Most of the early colorectal cancer has no clinical manifestations. Colonoscopy and biopsy are effective methods of diagnosis. Satisfactory efficacy of endoscopic treatment to avoid the risk of surgery and improve the quality of life of patients.