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近年来,随着结直肠癌发病率的逐渐上升和人口老龄化,以肠梗阻为首发症状的结直肠癌在临床上也愈来愈多见。因老年人机体反应性较差,常并发多系统疾病,使得此类结直肠癌经常被误诊。结肠镜检查是诊断结肠癌的金标准,但对于急诊危重患者可能无法行肠镜检查,此时CT等影像学检查亦具有极高的诊断价值。本文将从老年急性肠梗阻的临床特点,结肠癌伴发肠梗阻的诊断等方面逐一阐述,并结合笔者多年的临床经验,分析总结结肠癌合并肠梗阻的误诊及原因,旨在提高早期诊断率,为此类患者的手术治疗赢得宝贵的时机。
In recent years, with the increasing incidence of colorectal cancer and population aging, intestinal obstruction as the first symptom of colorectal cancer is also more and more clinically. Due to the poor reactivity of the elderly, often complicated by multiple system diseases, making such colorectal cancer is often misdiagnosed. Colonoscopy is the gold standard for the diagnosis of colon cancer, but it may not be possible for an emergency critical patient to have a colonoscopy, which also has a high diagnostic value. This article will be from the clinical features of senile acute intestinal obstruction, diagnosis of colon cancer with intestinal obstruction and other aspects of one by one, combined with the author’s many years of clinical experience, analysis and diagnosis of colon cancer with intestinal misdiagnosis and reasons to improve the early diagnosis rate , For such patients surgical treatment won valuable moment.