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目的:探讨结肠癌合并阑尾炎的误诊原因,以减少临床误诊。方法:回顾性分析25例结肠癌合并阑尾炎患者的临床资料。结果:全组25例经手术及病理证实的首诊时诊断为阑尾炎。2例患者在阑尾手术中发现结肠癌与阑尾炎并存,而行结肠癌根治术。23例单纯阑尾切除患者,术后7~90 d诊断为结肠癌再次手术。结论:结肠癌合并阑尾炎易误诊。提高对该病的认识,重视术前检查,术中规范探查及术后随访,可减少该病的误诊。
Objective: To investigate the causes of misdiagnosis of colon cancer combined with appendicitis to reduce the clinical misdiagnosis. Methods: The clinical data of 25 patients with colon cancer complicated with appendicitis were analyzed retrospectively. Results: All the 25 cases were diagnosed as appendicitis at the first diagnosis confirmed by surgery and pathology. Two patients found colon cancer and appendicitis coexist in the appendix surgery, while the line of colon cancer radical operation. 23 patients with simple appendectomy, 7 to 90 days after surgery for colon cancer re-operation. Conclusion: Colon cancer complicated with appendicitis is easily misdiagnosed. Improve awareness of the disease, emphasis on preoperative examination, intraoperative normative exploration and follow-up, can reduce the misdiagnosis of the disease.