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本文就莫斯科直肠外科研究实验室应用纤维结肠镜诊断和治疗大肠新生物的情况进行了报道。使用的结肠镜为日本和美国所造,长度86～186厘米,活动度达240～300°。于1972～1974年间对1,826例年龄为9～87岁病人进行了2,000次以上的结肠镜检查,发现良性和恶性肿瘤共613例,其中57例为弥漫性腺瘤病和19例炎性假息肉,以及结合包括手术诊断的全部方法确诊结肠癌共159例,其中位于乙状结肠94例,降结肠23例,横结肠17例,盲肠和升结肠25例。159例中154例完全为结肠镜检所证实,5例不成功。有117例结肠癌进行了 X 线检查,结果有28例阴性,23例可疑。所取134份活检标本中116份可找到肿瘤组织,18份阴性(13.4%),其原因是取组织过小或未铗准肿瘤组织。
This article reports on the diagnosis and treatment of colonic neoplasm using a colonoscopy in the Moscow Rectal Surgery Research Laboratory. The colonoscopes used are made in Japan and the United States and are 86 to 186 cm in length and 240 to 300 degrees in motion. Between 1972 and 1974, 1,826 patients aged 9 to 87 years were colonographed more than 2,000 times. A total of 613 benign and malignant tumors were found, of which 57 were diffuse adenomas and 19 inflammatory polyps. A total of 159 cases of colon cancer were diagnosed, including 94 cases of sigmoid colon, 23 cases of descending colon, 17 cases of transverse colon, and 25 cases of cecum and ascending colon. In 159 cases, 154 cases were completely confirmed by colonoscopy, and 5 cases were unsuccessful. There were 117 cases of colon cancer undergoing X-ray examination, resulting in 28 cases of negative and 23 cases of suspicious. Of the 134 biopsy specimens taken, 116 were found to be tumor tissue and 18 were negative (13.4%) because of too little or no tumor tissue.