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目的探讨回盲部癌的误诊原因及应对措施。方法回顾性分析了32例回盲部癌的误诊原因。结果 32例中误诊为急性、慢性阑尾炎22例(68.8%),阑尾周围脓肿5例(15.6%),缺铁性贫血3例(9.3%),腹壁肿物和右侧输尿管结石各1例(3.1%)。结论回盲部癌临床症状不典型,容易被误诊为贫血、阑尾炎等疾病。减少误诊的措施是提高医务人员对回盲部癌的认识,详细询问病史,认真细致体格检查,结合相应的辅助检查,综合分析,提高诊断率。
Objective To investigate the causes of misdiagnosis of ileocecal carcinoma and its countermeasures. Methods The causes of misdiagnosis in 32 cases of ileocecal carcinoma were retrospectively analyzed. Results 32 cases were misdiagnosed as acute and chronic appendicitis in 22 cases (68.8%), appendix abscess in 5 cases (15.6%), iron deficiency anemia in 3 cases (9.3%), abdominal wall and right ureteral calculi in 1 case 3.1%). Conclusion The clinical manifestations of ileocecal carcinoma are not typical, easily misdiagnosed as anemia, appendicitis and other diseases. Reduce the misdiagnosis measures to improve medical staff awareness of ileocecal cancer, detailed history, careful physical examination, combined with the appropriate auxiliary examination, comprehensive analysis, to improve the diagnostic rate.