直肠癌与痔疮的鉴别，你认识多少？
<img src="https://mmbiz.qpic.cn/mmbiz_gif/ttQvQuMvyykNic0s6Mic9UdC08PNHEgkcNdib3KftibjIvYx0KWljhEpVRkqWLF6qJxRvFTTdS4ldu3UF84AJgorTg/640?wx_fmt=gif&tp=webp&wxfrom=5&wx_lazy=1" style="width: 50%; margin-bottom: 20px;"><p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">直肠癌<span style="color: black;">初期</span>和痔疮的症状有<span style="color: black;">有些</span><span style="color: black;">类似</span>之处，有不少直肠癌<span style="color: black;">病人</span>在发病<span style="color: black;">初期</span>以为自己得的是痔疮，未予以治疗，等到症状严重了才来就诊，耽误了治疗的最佳时间。<span style="color: black;">因为</span>痔疮和直肠癌的发病部位相近，两者<span style="color: black;">亦</span>都有便血的表现，故<span style="color: black;">病人</span>容易混淆，<span style="color: black;">那样</span>今天就来谈一下直肠癌与痔疮的鉴别。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/ttQvQuMvyykNic0s6Mic9UdC08PNHEgkcNhPaXNRNAg3jhuhiaElI3f2T45NoabrgMRibibLSzBRescWGn55bAjxJjA/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">直肠癌与痔疮的鉴别</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">1</strong></span><span style="color: black;">►</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">便血</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">直肠癌和痔疮都可<span style="color: black;">显现</span>便血，但两者的便血是不同的。</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">痔疮</span></strong><span style="color: black;">的便血<span style="color: black;">大都是</span>间歇性，<span style="color: black;">一般</span>在大便干结或<span style="color: black;">摄食</span>辛辣刺激<span style="color: black;">食品</span>后<span style="color: black;">显现</span>，血色鲜红，量不多，随大便排出后滴下，血液与大便不相混合，多表现为大便表面带血，便后手纸带血。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">直肠癌</span></strong><span style="color: black;">的便血多为暗红色或果酱色，<span style="color: black;">通常</span>为每次大便都带血，且<span style="color: black;">由于</span>癌细胞破坏直肠粘膜而有粘液分泌，粘液与大便相混，<span style="color: black;">叫作</span>之为粘液血便或脓血便。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/ttQvQuMvyykNic0s6Mic9UdC08PNHEgkcNpleHNA3Wl4RicSczuel0m3X4wCWGrlg3UkxJibN9HfdFyNE22KV9GYAw/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">2</strong></span><span style="color: black;">►</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">排便习惯的改变</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">痔疮<span style="color: black;">病人</span></span></strong><span style="color: black;">的排便习惯<span style="color: black;">通常</span>不会改变，可能会在<span style="color: black;">摄食</span>辛辣刺激油腻<span style="color: black;">食品</span><span style="color: black;">引起</span>痔疮加重的<span style="color: black;">同期</span>，会有便秘的<span style="color: black;">状况</span><span style="color: black;">显现</span>，但<span style="color: black;">调节</span><span style="color: black;">膳食</span>后<span style="color: black;">常常</span><span style="color: black;">能够</span>恢复正常。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">直肠癌<span style="color: black;">病人</span></span></strong><span style="color: black;">排便习惯<span style="color: black;">显著</span>改变，表现为排便次数<span style="color: black;">增加</span>，里急后重，便意频繁，有排便不尽感，或便秘与腹泻交替<span style="color: black;">显现</span>，<span style="color: black;">同期</span><span style="color: black;">因为</span>肿瘤在肠腔的占位，直肠癌<span style="color: black;">病人</span>大便会变细、变扁，<span style="color: black;">或</span>大便性状改变（如大便表面带沟槽）。在病程后期，<span style="color: black;">倘若</span>肿瘤完全堵住肠道，则大便<span style="color: black;">不可</span>下行，故中医<span style="color: black;">叫作</span>之为“锁肛痔”，<span style="color: black;">同期</span>会<span style="color: black;">显现</span>腹痛、腹胀、肠鸣音亢进等肠梗阻征象。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/ttQvQuMvyykNic0s6Mic9UdC08PNHEgkcNV8sjAJWsPxcPSNReaiavaWKeqy2TiaeQ4Es5fHUmSgjPC7SIW3avZKjA/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">3</strong></span><span style="color: black;">►</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">发病年龄</span></p><strong style="color: blue;">痔疮</strong><span style="color: black;">可<span style="color: black;">出现</span>在各个年龄段，多<span style="color: black;">出现</span>在20岁以上群体。</span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">直肠癌</span></strong><span style="color: black;">的发病年龄近年来虽然有<span style="color: black;">青年</span>化的趋势，但总体而言<span style="color: black;">针对</span>发病人群来讲，年龄呈现正态分布趋势，<span style="color: black;">重点</span>集中在60~74岁的年龄范围，占总体发病人数的41.23%，而45岁以上发病的<span style="color: black;">病人</span>占所有结直肠癌新发病例的93.28%。（中华结直肠<span style="color: black;">疾患</span>电子杂志2017年12月）</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/ttQvQuMvyykNic0s6Mic9UdC08PNHEgkcNwH8jwbFbnejnF31zwNJZjSeLRz8d7EYTecbrhv2iaewM9Ria0Mu31hrQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">（2015年中国结直肠癌新发病例年龄分布）</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;"><strong style="color: blue;">4</strong></span><span style="color: black;">►</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">软硬程度及脱出</span></p><span style="color: black;">痔疮</span><span style="color: black;">便血多为间歇性，有时还会有肿块从肛门脱出，脱出的痔核，触之柔软，大<span style="color: black;">都数</span><span style="color: black;">状况</span>下<span style="color: black;">能够</span><span style="color: black;">自动</span>回纳或用手托回，<span style="color: black;">少许</span><span style="color: black;">状况</span>下会<span style="color: black;">出现</span>嵌顿。</span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">直肠癌</span></strong><span style="color: black;"><span style="color: black;">做为</span>恶性肿瘤，肿块位置固定且触之质地较硬，退指指套沾有血液、脓液、粘液等，<span style="color: black;">通常</span>不会从肛门脱出。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">5</strong></span><span style="color: black;">►</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">短期有<span style="color: black;">没</span><span style="color: black;">显著</span>体重减轻</span></p><strong style="color: blue;">痔疮<span style="color: black;">病人</span></strong><span style="color: black;"><span style="color: black;">倘若</span><span style="color: black;">无</span>其他合并<span style="color: black;">疾患</span>，<span style="color: black;">通常</span><span style="color: black;">状况</span>下不会<span style="color: black;">显现</span>短期内体重<span style="color: black;">显著</span>下降的表现。</span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">直肠癌<span style="color: black;">病人</span></span></strong><span style="color: black;"><span style="color: black;">因为</span>肿瘤的消耗，会<span style="color: black;">显现</span>短期内不明<span style="color: black;">原由</span>的体重<span style="color: black;">显著</span>减轻，并伴有疲劳乏力、贫血等症状。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/ttQvQuMvyykNic0s6Mic9UdC08PNHEgkcN4voLTFEr4iaMibIZTFlvJfPWBBdJOEtOxxibYzxqPqGDb6p1OXH4SO0gQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">6</strong></span><span style="color: black;">►</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">有<span style="color: black;">没</span>转移征象</span></p><span style="color: black;">直肠癌至晚期会<span style="color: black;">显现</span>转移征象，侵犯膀胱、尿道、阴道等<span style="color: black;">周边</span>脏器时<span style="color: black;">显现</span>尿路刺激症状、阴道流出粪液、骶部及会阴部<span style="color: black;">病痛</span>、下肢水肿等。</span><span style="color: black;">转移到其他脏器会有相应的临床表现。</span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">7</strong></span><span style="color: black;">►</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">病理活检</span></p><span style="color: black;">病</span><span style="color: black;">理活检，是鉴别痔疮和直肠癌的金标准。</span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/ttQvQuMvyykNic0s6Mic9UdC08PNHEgkcN83D3DvMygrUxIGBYIhXK21tyk2KxrYqscnG3VhkCicSIhz6UYbMaRuQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">怎样</span>筛查？</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">1. 指诊。</span></strong><span style="color: black;">直肠指诊是最简单有效的筛查<span style="color: black;">办法</span>，<span style="color: black;">亦</span>是初步诊断、<span style="color: black;">初期</span><span style="color: black;">发掘</span>直肠癌最<span style="color: black;">要紧</span>的<span style="color: black;">办法</span>，80%以上的直肠癌（尤其是直肠下段癌）均<span style="color: black;">能够</span>在直肠指诊时触及。<span style="color: black;">因此</span>不要<span style="color: black;">忽略</span>直肠指诊，<span style="color: black;">意见</span>40岁以上人群每年<span style="color: black;">最少</span>做一次直肠指诊。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/ttQvQuMvyykNic0s6Mic9UdC08PNHEgkcNRbpJpJ4UOmicnz11tbbkRUhcnFMzoNMicSRVue7KAW98oUjLWRkmibbNQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">2. 肠镜。</span></strong><span style="color: black;"><span style="color: black;">经过</span>肠镜能直视结直肠内部，观察肿块的形态，上下缘及距肛门缘的距离，<span style="color: black;">同期</span>可取病理送检，确定肿块性质及分化程度。<span style="color: black;">位置于</span>直肠中、上段癌肿，手指<span style="color: black;">没</span>法触到，采用乙状结肠镜检是一种较好的<span style="color: black;">办法</span>。<span style="color: black;">一样</span><span style="color: black;">意见</span>有家族史<span style="color: black;">或</span>年龄达到50岁以上的中老年人应该做<span style="color: black;">定时</span>筛查。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/ttQvQuMvyykNic0s6Mic9UdC08PNHEgkcNHlVl040jNUbIwqHtNRQ3cyajB9WGk0H9DnRYfaq1A5v1AqdBdicmloQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">温馨提示：</span></strong><span style="color: black;">如有身体不适，请<span style="color: black;">即时</span><span style="color: black;">看病</span>，<span style="color: black;">同期</span>要<span style="color: black;">重视</span><span style="color: black;">定时</span>体检。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">点击文末左下方</span></strong></span><strong style="color: blue;"><span style="color: black;">“</span></strong></span><span style="color: black;"><strong style="color: blue;"><span style="color: black;">阅读原文</span></strong></span><span style="color: black;"><strong style="color: blue;"><span style="color: black;">”</span></strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">可进行</strong></span><span style="color: black;"><strong style="color: blue;"><span style="color: black;">线上咨询、预约肠镜</span></strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">详细</span><span style="color: black;">疾患</span>问题找专业<span style="color: black;">大夫</span>看</span></strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;"> 外链发布社区 http://www.fok120.com/ 这夸赞甜到心里，让我感觉温暖无比。 你的话语真是温暖如春，让我心生感激。 “板凳”（第三个回帖的人） 谷歌网站排名优化 http://www.fok120.com/ 你的见解独到，让我受益匪浅，期待更多交流。 这篇文章真的让我受益匪浅，外链发布感谢分享！ “板凳”（第三个回帖的人） 外贸论坛是我们的，责任是我们的，荣誉是我们的，成就是我们的，辉煌是我们的。
页:
[1]