我们20年间共收治19例炎症性肠病,临床误诊为大肠癌,现分析如下: 1 临床资料 1.1 一般资料 本组19例,男12例,女7例。年龄18～63岁。病程最长3年,最短3个月,多数在1年内就诊。患者以腹块、腹痛、腹胀、腹泻、脓血便为主要症状。15例术前行钡灌肠检查,X线表现肠粘膜充盈缺损、僵硬或肠腔狭窄,误诊为癌。5例乙状结肠镜检查,咬取病理报告慢性炎症,但临床诊断仍不能排除癌。 1.2 病理检查 16例为慢性溃疡性结肠炎,2例为克 We 20 years were treated 19 cases of inflammatory bowel disease, clinical misdiagnosed as colorectal cancer, are analyzed as follows: 1 Clinical data 1.1 General Information The group of 19 patients, 12 males and 7 females. Age 18 ~ 63 years old. Duration of up to 3 years, the shortest 3 months, most visits within 1 year. Patients with abdominal mass, abdominal pain, abdominal distension, diarrhea, pus and blood as the main symptoms. Fifteen patients underwent preoperative barium enema examination, X-ray showed intestinal filling defects, stiffness or intestinal stricture, misdiagnosed as cancer. 5 cases of sigmoidoscopy, bite pathological reports of chronic inflammation, but clinical diagnosis still can not rule out cancer. 1.2 pathological examination of 16 cases of chronic ulcerative colitis, 2 cases of grams