论文部分内容阅读
目的:探讨老年患者直肠侧向发育型肿瘤患者接受了手术治疗前、后病理检查结果。方法:回归性分析我市中心医院2010年1月到2016年12月我院收治的90例老年结直肠侧向发育型肿瘤患者的临床资料,并对治疗前、后病理检查结果进行比对。结果:术前与术后病理诊断结果相同为60.0%(54/90),低级上皮内瘤变腺癌和高级上皮内瘤变腺癌诊断结果比较价无统计学意义(P>0.05)。本组29例术后病理活检程度加重,9例为癌变,8例术后活检病理减轻,术后3例为非肿瘤性病变。病理相同与术后病理加重者相比,在腺管开口类型、病变直接≥30mm及大体分型等方面差异显著(P<0.05)结论:术前活检不能表现侧向发育型肿瘤性质,还要积极性大体分型、病变直径与腺管开口类型等比较,选择最优化方案实施治疗。
Objective: To investigate the pathological findings of elderly patients with rectal lateral developmental tumors who underwent surgical treatment before and after surgery. Methods: A retrospective analysis of the Central Hospital from January 2010 to December 2016 in our hospital 90 cases of colorectal lateral growth tumor patients with clinical data, and the treatment before and after the pathological examination results were compared. Results: Preoperative and postoperative pathological diagnosis of the same 60.0% (54/90), low grade intraepithelial neoplasia adenocarcinoma and advanced intraepithelial neoplasia diagnosis of adenocarcinoma was no statistically significant (P> 0.05). The group of 29 cases of pathological biopsy worsened, 9 cases of cancer, 8 cases of postoperative biopsy reduced pathology, 3 cases of non-neoplastic lesions. The pathological changes were similar to those with postoperative pathology (P> 0.05). Conclusion: Preoperative biopsy can not show the nature of lateral developmental tumor, Aggressive general classification, lesion diameter and the type of open duct compared to choose the optimal program for the implementation of treatment.