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目的探讨昆明某院结肠镜检出大肠癌的临床特点变化趋势。方法回顾性分析2000年1月至2010年12月年昆明医科大学第一附属医院消化内镜室结肠镜检出大肠癌患者临床资料。结果 11年共检出大肠癌1 920例,检出率为7.19%,患者平均年龄(60.21±13.61)岁,男女性别比为1.37∶1.00。近5年肠镜对大肠癌的检出率保持在相对稳定水平(7.00%~8.00%),受检者和大肠癌患者平均年龄呈逐年增高趋势,大肠癌以直肠癌为主(56.98%),但直肠癌检出率呈缓慢下降,右半结肠癌检出率呈缓慢上升态势。结肠癌比直肠癌更容易出现狭窄。结论昆明地区大肠癌肠镜检出率保持相对稳定,呈老龄化趋势,发病部位以直肠为主但有右移趋势,直肠指诊和结肠镜检查是有效诊断手段。
Objective To investigate the clinical characteristics of colorectal cancer in a hospital in Kunming. Methods The clinical data of patients with colon cancer detected by digestive endoscopy in the First Affiliated Hospital of Kunming Medical University from January 2000 to December 2010 were retrospectively analyzed. Results A total of 1 920 cases of colorectal cancer were detected in 11 years. The detection rate was 7.19%. The mean age was (60.21 ± 13.61) years. The sex ratio was 1.37:1.00. The detection rate of colorectal cancer in colon cancer in the recent 5 years remained at a relatively stable level (7.00% -8.00%). The average age of subjects and colorectal cancer increased year by year. Colorectal cancer was predominantly rectal cancer (56.98%), , But the detection rate of rectal cancer showed a slow decline, the right half colon cancer detection rate showed a slow upward trend. Colon cancer is more prone to stenosis than rectal cancer. Conclusions The colorectal colonoscopy detection rate in Kunming area is relatively stable, showing the trend of aging. The main part of the disease is rectum but right shift. Rectal examination and colonoscopy are effective diagnostic methods.