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目的:探讨结肠癌误诊为急性阑尾炎的因素及预防措施。方法:回顾性分析2009年11月～2011年11月间我院收治的22例结肠癌误诊为急性阑尾炎患者的临床资料,分析误诊的原因,提出预防措施。结果:22例结肠癌误诊为急性阑尾炎均急诊行阑尾切除术,其中12例术中发现升结肠癌而行根治性手术,10例仅行阑尾切除术,术后均出现消化道症状后复诊,症状出现时间7～52d,平均45.5d。结论:结肠癌误诊为急性阑尾炎的主要原因是对患者病史询问不详细、医生习惯性思维影响及术中切口选择不当。加强病史询问,完善辅助检查,可有效降低误诊率。
Objective: To investigate the factors and preventive measures of misdiagnosis of colon cancer as acute appendicitis. Methods: The clinical data of 22 cases of colon cancer misdiagnosed as acute appendicitis admitted to our hospital from November 2009 to November 2011 were analyzed retrospectively. The causes of misdiagnosis were analyzed and the preventive measures were put forward. Results: 22 cases of colon cancer misdiagnosed as acute appendicitis were emergency line appendectomy, of which 12 cases of ascending colon cancer surgery and radical surgery, 10 cases were only appendectomy, postoperative gastrointestinal symptoms after referral, Symptoms appear time 7 ~ 52d, an average of 45.5d. Conclusion: The main reason of misdiagnosis of colon cancer as acute appendicitis is that the inquiry of patient history is not detailed, the influence of habitual thinking of doctors and improper incision of incision are obvious. Strengthen medical history, improve the auxiliary examination, which can effectively reduce the rate of misdiagnosis.