【摘要】 目的结直肠癌中,Ⅱ、Ⅲ期患者占绝大多数,本研究通过分析Ⅱ、Ⅲ期结直肠癌的临床病理特征,探讨其特点。方法分析1990～1999年我院收治的Ⅱ、Ⅲ期结直肠癌患者的临床及病理资料,比较Ⅱ、Ⅲ期患者中各初发症状,性别,年龄、病程,肿瘤部位,合并症,大体类型,组织类型及病理分级的差异。结果粘液血便是结直肠癌患者最常见的初发症状;肿瘤部位多见于直肠,以腺癌为主。Ⅱ、Ⅲ期相比,腹痛及大便习惯改变的发生率的差异有统计学意义;升结肠癌、直肠癌,大于5cm的肿瘤、严重贫血,乳头状腺癌,Ⅱ级及Ⅲ级肿瘤的出现率的差异也有统计学意义。结论Ⅱ、Ⅲ期结直肠癌虽然存在着某些差异,但为疾病的延续和进展,只有对早期症状重视,才能早期发现。更多还原

【Abstract】 Objective: To investigate and analyze their clinical and pathological characters of the colorectal cancer patients, majority of which are in stage Ⅱ and Ⅲ. Methods: The date of colorectal cancer was statistically analyzed in stage Ⅱ and Ⅲ from 1990 to 1999 in the Cancer Hospital of Sum Yat-sen university, including in primary site, gender, age, symptom, tumor location, complication, tumor size, gross findings, histology and pathological grades. Results: The classical and frequent initiating symptom was muciferous bloody stools, which suggested rectocarcinoma and adenocarcinoma mostly. Compared stage Ⅱ with stage Ⅲ, the frequency of abdominal pain, change in bowel habit, ascending and rectal tumor, more than 5cm tumor, serious anemia, grade Ⅱ and Ⅲ tumor was statistical significance. Conclusion: There exists some difference between colorectal cancer in stage Ⅱ and Ⅲ, which is caused by the advance of disease. The tumor can not be early diagnosed unless the symptoms are early paid attention to.更多还原