论文部分内容阅读
目的对右半结肠肿瘤误诊为急性阑尾炎的原因分析,总结出预防误诊的措施。方法对本院外科收治的29例右半结肠肿瘤误诊为急性阑尾炎的病历资料进行回顾性分析,总结并记录。结果均行手术治疗,术后恢复好,术后患者病理诊断为高分化腺癌6例,低分化腺癌9例,黏液腺癌14例,其中合并阑尾炎7例,无死亡病历。结论外科医师对于中老年人右下腹部疼痛要要有足够重视,应警惕有右半结肠肿瘤的可能,避免发生误诊和漏诊。
Objective To analyze the cause of misdiagnosis of right colon cancer as acute appendicitis and summarize the measures to prevent misdiagnosis. Methods Retrospective analysis of 29 cases of right colon cancer misdiagnosed as acute appendicitis admitted to our hospital was summarized and recorded. Results The patients underwent surgical treatment. The postoperative recovery was good. Six patients with well-differentiated adenocarcinoma, 9 with poorly differentiated adenocarcinoma, and 14 with mucinous adenocarcinoma were diagnosed after surgery. There were 7 patients with appendicitis and no death records. Conclusion The surgeon should pay enough attention to the pain in the right lower quadrant of the middle-aged and elderly people, and should be alert to the possibility of right-sided colon cancer to avoid misdiagnosis and missed diagnosis.