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老年人大肠癌肠镜检查结果与手术结果比较

A Comparison of Colonoscopy and Surgery in the Diagnosis of Colorectal Cancer in Elderly
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摘要 目的:探讨老年人大肠癌肠镜检查结果与手术结果的关系。方法:分析156例≥60岁老年人大肠癌的临床资料,大肠镜检查结果及手术治疗情况。结果:(1)老年人直肠癌检出率最高;(2)直肠癌肛指检查阳性率78.1%,大肠镜诊断大肠癌的准确率为100%;(3)BorrnannⅠ、Ⅱ、Ⅲ血型大肠癌手术根治率分别为78.5%、77.4%、55.0%。结论:根据大肠镜检查的结果可判断老年人大肠癌的部位、范围和程度,但其不能作为选择手术方式的依据。 Objective: To study the correlation between colonoscopy and surgery in the diagnosis of colorectal cancer in elderly. Methods: 156 elderly patients of colorectal cancer were collected. The clinical data, details of colonoscopy and operative records were summarized. Results: Rectal cancer accounted for the majority: The positive rates of digital anal examination and colonoscopy were 78.1% and 100% respectively radical resectability for Borrmann `! , a! or b! type maintained at 78.5% , 77. 4% , and 52.5% respectively. Conclusion: With colonoscopy, the location, extention of the growth can be judged in elderly, but with no implication for mode of operation.
出处 《中国临床医学》 2002年第6期694-696,共3页 Chinese Journal of Clinical Medicine
关键词 老年人 大肠癌 大肠镜检查 外科手术 Elderly Colorectal cancer Colonoscopy Surgery
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