摘要
目的 :通过 3 2例大肠息肉癌变的诊治 ,进行临床总结 ,并结合文献 ,对大肠息肉癌变的早期诊断、腺瘤癌变的危险因素及息肉癌变的治疗进行讨论。方法 :对 3 2例大肠息肉癌变的临床资料进行总结 ,包括发病年龄、病变部位、息肉组织类型与癌变关系、腺瘤外观、主要临床表现、治疗方法、术后的随访等。结果 :通过临床资料的分析 ,找出诊治大肠息肉癌变的规律及腺瘤癌变的因素。结论 :息肉恶变的诊治在于早期诊断与治疗 ,对于便血、粘液血便、大便习惯改变的患者必须进行直肠指检及乙状结肠镜或纤维结肠镜的检查 ,还强调病理诊断的准确性。在临床实践中必须了解腺瘤癌变的有关因素如 :息肉组织学结构、息肉外形、大小、有蒂无蒂、数目多少等。癌变息肉的治疗是根据病理检查的结果 ,采取不同的治疗方法 ,对粘膜内癌 (原位癌 )可经内镜摘除 ,不需补行根治术 ;对分化差的浸润癌、蒂部有癌细胞残留。
Objective: Through clinical diagnosis and treatment of 32 cases with canceration in polyposis of the large intestine and reference of some related information, the article discussed the early diagnosis of canceration in polyposis of the large intestine, potential factors of canceration in adenoma, and the treatment of canceration in polyposis. Methods: To summarize the chinical data of 32 cases of canceration in polyposis of the large intestine, including age and location of the disease, relationship between types of polyposis and canceration, outward appearance, main clinical manifestation, treating method, follow up survey after operation, etc. Results: Through analysis of clinical data, to find out the regularity in diagnosis and treatmtent of canceration in polyposis of the large intestine. Conclusion: The early diagnosis and treatment are very important for canceration in polyposis, rectal touch and sigmoidoscope or fibrooptic colonoscope examination must be given to the persons with hemafecia, mucosanguineous stool and change of stool habitand, pathological examination is also emphasized for the accuracy of the diagnosis. In clinical practice, the related factors of canceration in adenoma, such as tissue structure, outward appearance, size, pedunculus and numbers of polyp, must be considered. For the treatment of canceration in polyposis, different method can be performanced according to the result of pathological examination, for the intramucosal carcinoma (carcinoma in site), excision through fibrocolonoscope can be performanced, and radical resection is unneccesary. The radical resection can be performanced for infiltration cancer of low differentiation, remain of cancer cell in pedunculus and cancer embolus in lymphatic vessel and blood vessel.
出处
《现代中西医结合杂志》
CAS
2000年第6期475-476,共2页
Modern Journal of Integrated Traditional Chinese and Western Medicine
关键词
大肠息肉
癌变
临床分析
polyposis of the large intestine canceration
