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作者等于1985～1986年收治结肠癌114例,在检查中漏诊误诊16例占14％。其中全消化道钡餐误诊2例(因结肠未能全部充盈等影响),乙状结肠镜误诊4例(由于在检查时发现了直肠息肉等常见病后未能继续深入检查,或因解剖等因素影响插镜不到29cm),钡灌肠误诊漏诊7例(受粪便及肠襻弯曲重叠影响,易使肝、脾曲及乙状结肠X线的“盲点”部位误诊),纤维结肠镜误诊3例(因镜未插到回盲部或窥视肠腔不全,或将浸润型癌误认为炎症而误诊)。当怀疑大肠病变时应作钡灌肠及纤维结肠镜等重叠检查。
The authors treated 114 cases of colon cancer from 1985 to 1986, and misdiagnosis and misdiagnosis accounted for 16% of the cases. Among them, 2 cases were misdiagnosed with gut meal (due to incomplete colon filling, etc.), and 4 cases were misdiagnosed with sigmoidoscopy (due to unclear examination of common diseases such as rectal polyps found during examination, or due to anatomical and other factors. Mirror less than 29cm), missed diagnosis of barium enema misdiagnosis in 7 cases (by the feces and bowel curvature overlap, easy to make liver, spleen and sigmoid x-ray “blind spot” misdiagnosed), fiber colonoscopy misdiagnosis in 3 cases (because the mirror is not Insert into the ileocecal area or peep into the intestine, or misdiagnose infiltrating cancer as inflammatory. When the colorectal lesions are suspected, they should be checked for overlaps such as barium enema and colonoscopy.