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目的减少直肠癌误诊漏诊率。方法对因院外误诊漏诊而失去最佳治疗时机的96例直肠癌误诊原因进行分析。结果96例中,56例直肠指诊即能触及的低位直肠癌被误诊为其他疾病,40例中、高位直肠癌未经规范检查而误诊。结论重视病史采集和肛肠指诊为主的规范性检查,提高直肠癌和良性疾病并发直肠癌的警惕性,是减少误诊的重要措施,也是直肠癌手术后提高生存率的保障。
Objective To reduce the misdiagnosis rate of rectal cancer. Methods The causes of misdiagnosis of 96 cases of rectal cancer who lost the best timing of treatment due to misdiagnosis and missed diagnosis were analyzed. Results Of the 96 cases, 56 cases of low rectal cancer that could be touched by digital rectal examination were misdiagnosed as other diseases, and 40 cases of medium and high rectal cancer were misdiagnosed without standard examination. Conclusion Emphasis on medical history collection and anorectal fingerprinting as the main normative examination to improve the rectal cancer and benign disease associated with rectal cancer vigilance is to reduce misdiagnosis of an important measure is also to improve survival after rectal cancer surgery protection.