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为探讨胰腺癌误诊比例、病种和原因 ,以及误诊对胰腺癌诊治的影响 ,给避免误诊误治提供参考 ,回顾性分析研究 10 2 7例确诊的胰腺癌患者的误诊情况 ,同时将所有患者区分为误诊组与非误诊组 ,对各有关资料进行统计学处理 ,比较两组的差异性。结果显示 ,10 2 7例患者 5 86例曾被误诊 (5 7 1% )。误诊病种 5 5种 ,最常见的为胃十二指肠炎、消化性溃疡、病毒性肝炎、胆囊炎胆石症及慢性胰腺炎。误诊组与非误诊组的确诊时间、主要症状、根治切除率、半年存活率均有显著差异 (P <0 0 5 )。提示胰腺癌极易误诊 ,早期诊断和及时治疗对疾病预后有重要意义。临床医师应认识其各种症状 ,尽可能系统检查 ,综合分析 ,促其早期诊治
To investigate the proportion of misdiagnosed pancreatic cancer, the types and causes of the disease, the influence of misdiagnosis on the diagnosis and treatment of pancreatic cancer, provide a reference for avoiding misdiagnosis and misdiagnosis, and retrospectively analyze the misdiagnosis of 1027 patients diagnosed with pancreatic cancer. Meanwhile, Divided into misdiagnosis group and non-misdiagnosis group, the relevant data were statistically processed, the differences between the two groups were compared. The results showed that 5 86 cases of 1027 patients had been misdiagnosed (57.1%). Misdiagnosis 55 species, the most common gastroduodenitis, peptic ulcer, viral hepatitis, cholecystitis cholelithiasis and chronic pancreatitis. The diagnosis time, main symptoms, radical resection rate and half-year survival rate in both the misdiagnosed group and the non-misdiagnosed group were significantly different (P <0.05). Tip pancreatic cancer easily misdiagnosed, early diagnosis and timely treatment of the prognosis of the disease is of great significance. Clinicians should recognize its various symptoms, as far as possible systematic examination, comprehensive analysis, and promote its early diagnosis and treatment