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目的探讨减少结肠癌的误诊率。方法回顾性总结分析2000～2008年间误诊为阑尾炎的结肠癌病例。结果 16例患者中13例行阑尾炎手术,术中发现结肠癌10例其中一期切除8例,切除肿瘤并造瘘术2例,另3例单纯行阑尾切除;余3例按阑尾周围脓肿行保守治疗。8例因治疗效果差而行多种检查确诊后手术治疗。结论医生对阑尾炎的诊断缺乏警觉性,阑尾炎的症状和体征掩盖了结肠癌的表现,术前要详细询问病史和仔细查体,术中注意探查,尤其是高龄患者,术后随访。
Objective To investigate to reduce the misdiagnosis rate of colon cancer. Methods Retrospective analysis of cases of colon cancer misdiagnosed as appendicitis between 2000 and 2008. Results Of the 16 patients, 13 cases underwent appendectomy. Among them, 10 cases of colon cancer were found in one of them, 8 cases were resected, 2 cases were resected tumor and fistula, and 3 cases were simple appendectomy. The other 3 cases were treated with appendectomy Conservative treatment. 8 cases due to poor treatment and a variety of tests confirmed after surgery. Conclusion Doctors lack of alertness for the diagnosis of appendicitis, symptoms and signs of appendicitis mask the performance of colon cancer, preoperative detailed history and careful physical examination, intraoperative attention exploration, especially in elderly patients, postoperative follow-up.