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直肠癌是胃肠道中常见的恶性肿瘤,其发病率仅次于胃癌,居第二位。约50％病例病灶距肛门口7.5cm以内,有利于早期诊断。如能早期发现,及时治疗,疗效尚较满意。腹会阴手术的5年生存率达50％以上。但临床误诊现象极为普遍,后果严重,值得引起重视。本文就我院误诊的病例进行分析报告如下。临床资料我院自1969年8月～1982年12月共收治直肠癌(包括肛管癌)168例,明确误诊的有81例,误诊率为48.2％。 1、性别和年龄:男性55例,女性26例。年龄最大72岁,最小25岁。40岁以下者29例(占35.8％),41～50岁发病率最高,共28例(占34.6％)。 2、从出现症状到确诊时间平均为1.2年。
Rectal cancer is a common malignancy in the gastrointestinal tract. Its incidence is second only to gastric cancer. About 50% of the lesions are within 7.5cm from the anal canal, which is helpful for early diagnosis. If early detection and timely treatment are performed, the effect is still satisfactory. The 5-year survival rate of abdominal perineal surgery is more than 50%. However, the phenomenon of clinical misdiagnosis is extremely common. The consequences are serious and deserve attention. This article analyzes the cases of misdiagnosis in our hospital as follows. Clinical data From August 1969 to December 1982, 168 patients with rectal cancer (including anal canal cancer) were treated in our hospital. Of the 81 patients who were clearly misdiagnosed, the misdiagnosis rate was 48.2%. 1. Sex and age: 55 males and 26 females. The oldest is 72 years old and the youngest is 25 years old. 29 cases (35.8%) were under the age of 40, the highest incidence rate was 41 to 50 years old, 28 cases (34.6%). 2. The average time from symptom onset to diagnosis is 1.2 years.