摘要
目的描述早发性结直肠癌患者就医延迟现状,分析其临床病理特征。方法选取川北医学院附属医院2015年1月—2021年12月确诊的406例早发性结直肠癌病例,回顾性分析首次发现症状至首次就诊于医疗机构的时间、初始症状、术后病理等资料。结果早发性结直肠癌患者主要以排便习惯和粪便性状改变、腹痛或腹部不适为初始症状就诊,51.72%的患者首次发现症状至首次就诊于医疗机构的时间≥3个月。肿瘤原发部位以直肠多见,肿瘤大体分型以溃疡型多见,组织分类以腺癌多见,TNM分期以Ⅲ期为主,肿瘤分化程度以中分化为主。结论早发性结直肠癌患者就医延迟现象较为普遍,应增加人们及基层医生对早发性结直肠癌的认识与关注,探寻就医延迟的原因,促进疾病早诊早治。
Objective To describe the current situation of delayed medical treatment in patients with early-onset colorectal cancer and analyze theiRclinicopathological features.Methods A total of 406 patients diagnosed as early-onset colorectal cancer in the Affiliated Hospital of North Sichuan Medical College from January 2015 to December 2021 were selected,and the materials such as time from the first discovery of symptom to the first visit in the medical institution,initial symptoms and postoperative pathology were analyzed retrospectively.Results Patients with early-onset colorectal cancer were mainly diagnosed with changes in bowel habits and stool characteristics,abdominal pain or discomfort,and 51.72%of patients had a time interval of≥3 months from the discovery of symptoms to the first visit in a medical institution.The primary site of the tumor was predominantly in the rectum,with the ulcerative type being the most common macroscopic classification,adenocarcinoma being the most common histological classification,phaseⅢbeing the most common TNM stage,and moderate differentiation being the main tumor differentiation.Conclusion Delayed medical treatment is a common phenomenon in patients with early-onset colorectal cancer,and it is necessary to enhance people′s and grassroots doctors′awareness and attention to early-onset colorectal cancer,in order to explore the reasons for delayed medical treatment and promote early diagnosis and treatment of the disease.
作者
青晨
胡银
袁梅
阙湘
毛丽芳
QING Chen;HU Yin;YUAN Mei;QUE Xiang;MAO Lifang(College of Nursing of North Sichuan Medical College,Nanchong,Sichuan,637000;Anorectal Department of Integrated Traditional Chinese and Western Medicine,the Affiliated Hospital of North Sichuan Medical College,Nanchong,Sichuan,637000)
出处
《实用临床医药杂志》
2023年第14期72-77,共6页
Journal of Clinical Medicine in Practice
基金
川北医学院附属医院2023年度科研项目(2023JC049)。
关键词
早发性结直肠癌
就医延迟
临床特征
病理特征
回顾性分析
early-onset colorectal cancer
delayed medical treatment
clinical characteristics
pathological characteristics
retrospective analysis
作者简介
通信作者:毛丽芳,E-mail:398484182@qq.com。
