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目的对右半结肠癌并发急性阑尾炎的诊断与治疗要点进行分析和总结,降低漏诊、漏治率。方法选取我院2010-01-2014-01收治的40例右半结肠癌并发急性阑尾炎患者作为本次研究对象,并对其临床资料进行回顾性分析。结果 40例入院时均被诊断为急性阑尾炎或阑尾周围脓肿,术中35例发现肿瘤合并急性阑尾炎,且进行手术切除。5例阑尾切除后症状未得到缓解,检查发现合并肿瘤,再行手术。本组均顺利完成手术后,无死亡病例。结论右半结肠癌并发急性阑尾炎易出现漏诊、漏治的情况,通过详细询问急性阑尾炎患者病史,并对可疑病例进行相关检查,可有效降低右半结肠癌漏诊、误诊率,提高治疗效果。
Objective To analyze and summarize the diagnosis and treatment of acute right appendicitis in right colon cancer and to reduce the missed diagnosis and missed treatment. Methods Forty patients with right colon cancer complicated with acute appendicitis admitted to our hospital from January 2010 to January 2014 were selected as the study subjects and their clinical data were retrospectively analyzed. Results All the 40 cases were diagnosed as acute appendicitis or appendix abscess on admission. Among them, 35 cases were found with acute appendicitis and underwent surgical resection. After 5 cases of appendectomy symptoms have not been alleviated, the examination found that the merger of the tumor, and then surgery. This group have successfully completed the operation, no deaths. Conclusion Right colon cancer complicated with acute appendicitis is prone to misdiagnosis and missed treatment. Through detailed examination of the history of patients with acute appendicitis and related suspicious cases, it can effectively reduce the misdiagnosis and misdiagnosis rate of right colon cancer and improve the therapeutic effect.