论文部分内容阅读
目的探讨结直肠癌误诊原因,总结经验教训以及减少误诊的措施。方法回顾性总结10年来我院收治的结直肠癌患者112例。其中误诊50例,占44.6%。男32例,女18例,年龄20～83岁,平均53岁。结果误诊时间:结肠癌10天～3年,直肠癌2月～1年,以三个月左右为多,部位以直肠居多,占24例。误诊疾病以慢性结肠炎,胆囊炎,痔疮,阑尾炎,粘连性肠梗阻,妇科附件炎居多占98%。误诊率44.6%。讨论①提高结直肠癌的认识性和警惕性。②对便血患者常规做直肠指检。③多次大便潜血实验检查。④结合气钡造影及结肠镜检。⑤提高对高危人群的监控。
Objective To investigate the causes of misdiagnosis of colorectal cancer, summarize the experience and lessons and reduce the misdiagnosis measures. Methods A retrospective review of 112 cases of colorectal cancer admitted to our hospital over the past 10 years. Among them, 50 cases were misdiagnosed, accounting for 44.6%. 32 males and 18 females, aged 20 to 83 years, mean 53 years. Results Misdiagnosis time: 10 days to 3 years for colon cancer and 2 months to 1 year for rectal cancer, mostly in about three months. The majority of sites were rectal, accounting for 24 cases. Misdiagnosis of diseases with chronic colitis, cholecystitis, hemorrhoids, appendicitis, adhesive intestinal obstruction, gynecological annex inflammation accounted for 98%. Misdiagnosis rate of 44.6%. Discussion ① improve the awareness and vigilance of colorectal cancer. ② routine rectal examination of patients with blood in the stool. ③ multiple fecal occult blood test. ④ combined barium and colonoscopy. ⑤ improve the monitoring of high-risk groups.