纤维结肠镜诊断大肠癌的价值(附110例分析)

报告经纤维结肠镜诊断大肠癌１１０例，结合活检及手术后病理，最终确诊大肠癌１０２例（８例活检阴性者未行手术治疗）。其中１例属早期癌；５例为大肠癌术后复查，其中３例复发。１１０例活检结果与内镜诊断符合率为７６．４％。有４８例接受了Ｘ线检查，与内镜符合率为６７％。１１０例中有１０２例在本院手术，术后病理与内镜符合率１００％。作者认为纤维结肠镜对大肠癌确诊率高，并且对早期大肠癌的诊断及手术后复查，也有其他检查方法无法代替的优越性。

DIAGNOSTIC VALUE OF FIBROCOLONSCOPE IN 110 CASES OF CARCINOMA OF LARGE INTESTINE

One hundred and ten patients were diagnosed as having carcinoma of large intestine with fibrocolonscope alone.One hundred and two of the 110 patients were finally confirmed by combination of biopsy and pathologic examination; the other 8 patients with biopsy negtivity were not operated on.Among them,1 case was early carcinoma and 5 were postoperative reexamined cases,3 of which were relapses.The correspondence rate was 76.4% between endoscope diagnosis and biopsy,and 67% between endoscope diagnosis and X ray diagnosis (48 of the 110 cases were examined with X ray).One hundred and two of the 110 patients were operated on for carcinoma of large intestine ;the postoperative pathologic diagnosis completely corresponded with the endoscope diagnosis .We think that the fibrocolonscope examination has high comfirmed diagnosis rate for diagnosis of carcinoma of large intestine and has unique advantage over other methods in diagnosing early carcinoma and in postoperative reexamination.