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目的探讨分析右半结肠癌误诊为阑尾炎及阑尾周围脓肿的原因及教训,讨论探讨其预防方法。方法回顾性分析我院近10年来收治的28例右半结肠癌误诊为阑尾炎及阑尾周围脓肿的患者病例资料。结果本组26例误诊为阑尾炎及阑尾周围脓肿,2例误诊为阑尾周围脓肿并肠梗阻。结论右半结肠与阑尾部位邻近,右半结肠癌与阑尾炎临床表现相似,易误诊,术前详细的病史采集及检查,术中必要的探查是避免误诊的有效措施。
Objective To investigate the causes and lessons of misdiagnosis of right colon cancer as appendicitis and peri-abscesses, discussing its preventive measures. Methods The clinical data of 28 patients with right colon cancer who were misdiagnosed as appendicitis and peri-abscess in our hospital in recent 10 years were retrospectively analyzed. Results The group of 26 cases misdiagnosed as appendicitis and appendix abscess, 2 cases misdiagnosed as abscess around the appendix and intestinal obstruction. Conclusion The right colon and appendix are close to each other. The clinical manifestations of right colon cancer and appendicitis are similar. Misdiagnosis and preoperative detailed history acquisition and examination are necessary. The necessary exploration during operation is an effective measure to avoid misdiagnosis.