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对我院近2年发生的4例直肠癌病例的漏诊、误诊原因加以分析,从而吸取经验教训,以期提高直肠癌切除根治率和生存率。本组4例病例,均为男性,年龄38~45岁,临床上有便血、肛门肿痛、肛旁溢脓等明显的痔、瘘表现,漏诊、误诊时间为1~4个月,其中例1诊断为混合痔,行痔切除术,例2、3诊断混合痔、肛瘘,分别行痔切除术和瘘剖开术,例4诊断坐骨直肠间隙并骨盆直肠间隙脓肿,行脓肿切开、内口挂线术。术后因1个月余仍便血、创口不愈,经镜检及活组织检查,确诊直肠癌。对漏诊。误诊的原因进行了讨论。
The causes of missed diagnosis and misdiagnosis of 4 cases of rectal cancer occurred in our hospital in the past 2 years were analyzed to learn lessons and to improve the radical resection and survival rate of rectal cancer. In this group of 4 cases, all were male, aged 38 to 45 years old. Clinically, there were obvious blood stasis, anal swelling, and perianal pus, etc., and the missed diagnosis and misdiagnosis were 1-4 months. 1 The diagnosis was mixed hemorrhoids and iliac crest resections. Cases 2 and 3 were used to diagnose mixed hemorrhoids and anal fistulas. Resections and hernias were performed. Example 4 was used to diagnose the ischorectal space and pelvic and rectal space abscesses. Abscess incision was performed. Port threading. After more than 1 month after the operation, he had bloody stools and healed wounds. His diagnosis of rectal cancer was confirmed by microscopic examination and biopsy. Missed diagnosis. The reason for misdiagnosis was discussed.