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目的:观察结肠癌并存阑尾炎患者的临床治疗情况,探讨结肠癌并存阑尾炎出现误诊及漏诊的临床症状及原因。方法:回顾性分析我院2005年至2012年收治的结肠癌并存阑尾炎误诊以及漏诊的10例患者的临床资料,进行逐一分析和总结。结果:本研究10例患者均被先诊断为阑尾炎,1例阑尾未处理,9例进行阑尾炎常规治疗。在阑尾炎手术中,医务人员发现其为阑尾炎和结肠癌并存,及时进行右半结肠切除手术者6例,横结肠切除1例,左半结肠切除1例;在阑尾切除术后1—3月,发现为阑尾炎和结肠癌并存,行横结肠切除1例,左半结肠切除1例。结论:结肠癌并存阑尾炎的误诊和漏诊发生率极高,为6%—20%。因此,提高术前诊断技术,加强术中检测,对降低误诊、漏诊发生率有至关重要的作用。
Objective: To observe the clinical treatment of patients with colon cancer complicated by appendicitis, and to explore the clinical symptoms and causes of misdiagnosis and missed diagnosis of colon cancer coexisting appendicitis. Methods: The clinical data of 10 cases of misdiagnosis and missed diagnosis of colon cancer complicated by appendicitis in our hospital from 2005 to 2012 were analyzed retrospectively. Results: All 10 patients in this study were diagnosed as appendicitis first, 1 case was not treated with appendix, and 9 cases were treated with conventional appendicitis. In appendicitis surgery, medical staff found that both appendicitis and colon cancer coexist, timely right colon resection in 6 cases, transverse colon resection in 1 case, left colon resection in 1 case; in appendectomy 1-3 months after the discovery For the coexistence of appendicitis and colon cancer, one patient underwent transverse colon resection and one patient underwent left hemicolectomy. Conclusion: The incidence of misdiagnosis and missed diagnosis of colon cancer coexisting appendicitis is extremely high, ranging from 6% to 20%. Therefore, improving preoperative diagnostic techniques and strengthening intraoperative detection have a crucial role in reducing the incidence of misdiagnosis and missed diagnosis.