论文部分内容阅读
我院收治的进展期胃癌病人中,有29例临床误诊,经纤维胃镜及术后病理证实,现报道如下。一、临床资料本组男21例,女8例。34岁以下者4例,35～65岁者16例,66岁者以上9例。病程<半年者14例,>半年者15例。确诊前临床误诊疾病及首发症状分别见表1和表2。二、误诊原因分析本组同期收治进展期胃癌患者71例,误诊率40。85％,与国内文献报告相似。误诊原因如下: 1、对年青患者警惕性不高。本组34岁以下占13.29％。如1例23岁的女病人,上腹痛,呕吐。钡餐报告幽门梗阻。胃镜下观察像浸润胃癌,活检报告为表浅性胃炎。手术探查
Of the patients with advanced gastric cancer admitted to our hospital, 29 were misdiagnosed clinically and confirmed by fiberoptic gastroscopy and postoperative pathology. These are reported below. First, the clinical data of this group of 21 males and 8 females. There were 4 cases under 34 years old, 16 cases between 35 and 65 years old, and 9 cases above 66 years old. There were 14 cases with a course of <6 months and 15 cases with half a year. The clinical misdiagnosis diseases and first symptoms before diagnosis are shown in Table 1 and Table 2, respectively. Second, the reasons for misdiagnosis Analysis of this group of 71 patients with advanced gastric cancer during the same period, misdiagnosis rate of 40.85%, similar to the domestic literature reports. The reasons for misdiagnosis are as follows: 1. The vigilance of young patients is not high. The group below the age of 34 accounted for 13.29%. Such as a 23-year-old female patient, abdominal pain, vomiting. Barium meal reports pyloric obstruction. Endoscopic observation of invasive gastric cancer, biopsy reported as superficial gastritis. Surgical exploration