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目的:探讨大肠类癌在结肠镜下的诊断和治疗。方法:回顾分析2000年9月至2005年9月长海医院肛肠外科肠镜室共36例大肠类癌的临床资料。病理确诊36例,内镜下用PSD圈套器圈除16例,热活检钳钳除3例,EMR切除8例,手术局部切除7例,直肠根治术1例,右半结肠切除1例。结果:随访1~5年存活率100%。结论:结肠镜检查是发现和诊断大肠类癌的首选方法,确诊有赖于病理诊断。内镜下治疗切实有效,EMR是治疗大肠类癌安全可靠的方法(无肌层浸润及淋巴结转移者)。
Objective: To investigate the diagnosis and treatment of colorectal carcinomas under colonoscopy. Methods: The clinical data of 36 cases of colorectal carcinomas in Changhai Hospital from September 2000 to September 2005 were analyzed retrospectively. Thirty-six cases were diagnosed by endoscopy, 16 cases were treated with PSD snare loop under endoscopy, 3 cases by thermal biopsy forceps, 8 cases by EMR resection, 7 cases by partial resection, 1 case by rectal radical mastectomy and 1 case by right colon resection. Results: The follow-up of 1 to 5 years survival rate of 100%. Conclusion: Colonoscopy is the preferred method to detect and diagnose colorectal carcinomas. Diagnosis depends on the pathological diagnosis. Endoscopic treatment is effective, EMR is safe and reliable method of treatment of colorectal carcinoid (no myometrial invasion and lymph node metastasis).