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目的探讨右半结肠癌的误诊原因,总结减少误诊的措施。方法对23例右半结肠癌的临床资料回顾性分析。结果 23例中误诊为阑尾炎、阑尾周围脓肿7例,胃炎、胃十二指肠溃疡6例,慢性结肠炎4例,慢性胆囊炎2例,缺铁性贫血2例,克罗恩病1例,肠易激综合症1例。结论右半结肠癌临床表现不典型,应详细询问病史,重视早期症状,对结肠癌高危人群、腹腔内器官良性疾病给予相应治疗后无好转或反复发作,须尽早行结肠镜检查。
Objective To investigate the causes of misdiagnosis of right colon cancer and to summarize the measures to reduce misdiagnosis. Methods The clinical data of 23 patients with right colon cancer were retrospectively analyzed. Results 23 cases were misdiagnosed as appendicitis, 7 cases of abscess around appendix, 6 cases of gastritis and gastroduodenal ulcer, 4 cases of chronic colitis, 2 cases of chronic cholecystitis, 2 cases of iron deficiency anemia and 1 case of Crohn’s disease , Irritable bowel syndrome in 1 case. Conclusion The clinical manifestations of right colon cancer are not typical, history should be asked in detail, pay attention to early symptoms, high-risk groups of colon cancer, intra-abdominal benign disease after appropriate treatment without improvement or recurrent, as early as possible colonoscopy.