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目的探讨直肠癌的早期误诊原因,以提高对该病的早期诊断率。方法对普外科2003-2009年326例诊治的直肠癌患者的临床资料进行回顾性分析。结果首诊误诊176例,误诊率为53.98%,其中误诊为痔疮80例,慢性痢疾41例,肠炎27例,息肉20例,其他8例。结论倡导规范的肛门直肠指检及电子肠镜检查,可提高直肠癌的早期诊断率。
Objective To explore the causes of early misdiagnosis of rectal cancer in order to improve the early diagnosis of the disease. Methods The clinical data of 326 patients with rectal cancer treated in general surgery from 2003 to 2009 were analyzed retrospectively. Results The first misdiagnosis of 176 cases, the misdiagnosis rate was 53.98%, of which 80 were misdiagnosed as hemorrhoids, chronic dysentery in 41 cases, 27 cases of enteritis, polyps in 20 cases, the other 8 cases. Conclusions Advocating a standardized anorectal examination and electronic colonoscopy can improve the early diagnosis of rectal cancer.