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右半结肠癌34例临床分析

ANALYSIS OF 34 CASES OF CARCINOMA OF THE RIGHT COLON

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【作者】 李怀玉; 牛树凯;

【Author】 Li Huaiyu, et al (Department of Medicine, First Affiliated Hospital)

【机构】 山西医学院第一附属医院; 山西医学院第一附属医院;

【摘要】 本文分析经手术病理证实的右半结肠癌34例。男性多于女性(1.62:1),40岁以上占绝大多数(29例,85.2%)。病程长(从出现症状到确诊平均12.6月),早期不易发现。临床表现以右腹痛(30例,88.2%)、腹部肿块(27例,79.4%)、贫血(17 例,56.6%)、体重下降(14例,41.1%)及腹泻(9例,26.4%)为主。便潜血、钡剂灌肠X-线造影及纤维结肠镜检查对结肠癌的诊断最有意义。

【Abstract】 34 cases of right colonic carcinoma diagnosed surgically and pathologically were analyzed. The ratio of male to female was 1.62:1;there were 29 patients over fourty years old (85.2%); the average disease course from appearance of symptoms to diagnosis made was 12.6 months. The early colonic carcinoma was hard to be found. The main clinical manifestations were pain on right abdomen (30 cases, 88.2%), intraabdominal masses(27, 79.4%), anemia (17, 56.6%), weight loss (14,41.1%) and diarrhea (9,26.4%). We considered that the most important methods for diagnosis of right colonic carcinoma were occult blood test of feces, X-ray examination with barium enema and colonofibroscopy.

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