王 罡 张俊华

    [摘要] 目的：探讨青年人结直肠癌的诊断与治疗，以期提高5年生存率。方法：回顾我院2003年1月～2008年11月对青年人结直肠癌160例的手术治疗，分析症状、病程、病理类型、分期及随访情况。结果：我国青年人结直肠癌的发病率高于国外，男性大于女性；以黏液腺癌为主要病理类型(35%)，肿瘤浸润较深；与老年人结直肠癌相比，恶性程度高、切除率低、5年存活率低(11.5%)；误诊率高达60%。结论：对不明原因的便血、腹泻或进行性贫血、有家族遗传史等高危患者，应尽早肠镜检查，以提高早期诊断率，避免误诊。

    [关键词] 青年人；结直肠癌；预后

    [中图分类号] R735.3[文献标识码]A [文章编号]1673-7210(2009)03(a)-035-03

    Analysis of diagnosis and treatment of 160 cases young patients with colorectal carcinoma.

    WANG Gang, ZHANG Jun-hua

    (The Second Department of General Surgery,the First Affiliated Hospital of Liaoning Medical University,Jinzhou121001,China)

    [Abstract] Objective: To discuss the diagnosis and treatment of young patients with colorectal cancer. Methods: Data of 160 young patients with colorectal cancer of in our hospital from 2003 to 2008 were studied retrospectively. Results: The incidence rate of colorectal cancer in young people of our country was higher than that of other countries. The incidence rate of colorectal cancer in male was higher than female; the mucinous adenocarcinoma was main pathology type(35%),the tumor infiltrated more deeper; compared with old people, colorectal cancer in young patients showed poor histological stages and pathological types, poor prognosis(11.5%); misdiagnosis rate was higher than 60%. Conclusion: Young patients with symptoms of high risks should be suggested to have enteroscope examination,so as to improve early diagnosis rate,radical resection rate,and to improve 5-year survival rate. ......