CAJ | 학술논문

目的：探究河南省郑州市某社区166例大肠癌患者的临床特征，探究其流行病学特征。方法回顾性分析河南省郑州市某社区2013年1月-2015年5月接收的166例大肠癌患者的临床资料。结果中老年人易发大肠癌，男性患病率高，病理分型多为中、高分化腺癌；在大肠癌Duckes分期上，A期18例，B期30例，C期46例，D期72例；在大肠癌变肠断分布状况上，横结肠14例，升结肠20例，乙状结肠22例，直肠86例，降结肠24例。结论大肠癌易发直肠部位，临床表现缺乏代表性，误诊率高，故应强化大肠癌临床病理分析，重视早期诊断与治疗。
목적：탐구하남성정주시모사구166례대장암환자적림상특정，탐구기류행병학특정。방법회고성분석하남성정주시모사구2013년1월-2015년5월접수적166례대장암환자적림상자료。결과중노년인역발대장암，남성환병솔고，병리분형다위중、고분화선암；재대장암Duckes분기상，A기18례，B기30례，C기46례，D기72례；재대장암변장단분포상황상，횡결장14례，승결장20례，을상결장22례，직장86례，강결장24례。결론대장암역발직장부위，림상표현결핍대표성，오진솔고，고응강화대장암림상병리분석，중시조기진단여치료。
Objective To explore the clinical features of 166 patients with colorectal cancer in a community of zhengzhou in henan province and their epidemiological characteristics. Methods The clinical datum of 166 patients with colorectal cancer admitted from January 2013 to May 2015 in a community of zhengzhou in henan province were retrospectively analyzed. Results The elder-ly were easily to get colorectal cancer among whom the prevalence rate of men was higher and the pathological type mainly showed middle and high differentiated adenocarcinoma;in Duckes staging of colorectal cancer, among 166 cases, there were 18 patients in stage A, 30 cases in stage B, 46 cases in stage C and 72 cases in stage D; in the distribution of intestines with colorectal cancer, there were 14 cases with transverse colon, 20 cases of ascending colon, 22 cases of sigmoid colon, 86 cases of rectum and 24 cas-es of descending colon. Conclusion The parts which are easily to get colorectal cancer are rectums. The clinical manifestations are not typical and the misdiagnosis rate is relatively high. So the clinical pathological analysis of colorectal cancer should be strength-ened and importance should be attached to early diagnosis and treatment.