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目的 探讨以急性阑尾炎为临床表现的结肠恶性肿瘤的误漏诊原因 ,以减少结肠恶性肿瘤误漏诊率。方法 回顾分析 3 2例以急性阑尾炎为临床表现的结肠恶性肿瘤患者的诊断治疗经过。结果 6例误诊为阑尾脓肿 ;2 6例诊断为急性阑尾炎而行急诊手术 ,其中 15例术中发现结肠恶性肿瘤与急性阑尾炎并存 ;11例术中未发现结肠恶性肿瘤存在而仅行阑尾切除术 ,需在术后 2～ 12个月内再次入院行结肠肿瘤手术。结论 有急性阑尾炎表现的结肠恶性肿瘤 ,很难与单纯的急性阑尾炎相鉴别 ,常易误漏诊。提高对本病的认识 ,并对 40岁以上的阑尾炎患者详细询问病史 ,是减少本病误漏诊的关键。
Objective To investigate the causes of misdiagnosis of colon malignant tumors with clinical manifestations of acute appendicitis so as to reduce the misdiagnosis rate of malignant colon tumors. Methods A retrospective analysis of 32 cases of acute appendicitis clinical manifestations of colon cancer patients after the diagnosis and treatment. Results Six cases were misdiagnosed as appendix abscess. Twenty-six cases were diagnosed as acute appendicitis underwent emergency surgery. Among them, 15 cases were found with malignant colonic tumors and acute appendicitis coexist. Only 11 cases of colon malignant tumors were found but only appendectomy , Need to be admitted again 2 to 12 months after colon cancer surgery. Conclusion The manifestations of acute appendicitis colon malignant tumor, it is difficult to differentiate and simple acute appendicitis, often misdiagnosis. Improve understanding of the disease, and more than 40 years of history of patients with appendicitis in detail, is to reduce the misdiagnosis of the disease the key.