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目的:回顾性分析38例结直肠癌的误诊原因,以期进一步提高早期诊断率。方法:我院1998年1月～2008年12月共确诊结直肠癌82例,误诊38例。误诊时间最短4.5个月,最长21.0个月,平均9.6个月。结果:本组误诊率为46.34%(38/82),易误诊为痔疮、肠炎及急、慢性痢疾。结论:对有肠道症状的患者,按良性疾病治疗效果不佳时,应想到结直肠癌的可能,及时行结肠镜检查及肛门指诊检查,可降低结直肠癌的误诊率。
Objective: To retrospectively analyze the causes of misdiagnosis in 38 cases of colorectal cancer in order to further improve the early diagnosis rate. Methods: From January 1998 to December 2008, 82 cases of colorectal cancer were diagnosed in our hospital and 38 cases were misdiagnosed. The shortest misdiagnosis time of 4.5 months, up to 21.0 months, an average of 9.6 months. Results: The rate of misdiagnosis in this group was 46.34% (38/82), easily misdiagnosed as hemorrhoids, enteritis and acute and chronic dysentery. Conclusion: For patients with intestinal symptoms, benign disease treatment ineffective, should think of the possibility of colorectal cancer, timely colonoscopy and anus finger examination can reduce the misdiagnosis rate of colorectal cancer.