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目的 :分析小肠平滑肌肿瘤误诊原因。方法 :回顾性病例分析。结果 :12例中误诊胃炎 2例 ,十二指肠球部溃疡 2例 ,胰头癌 2例 ,结肠癌 2例 ,肝炎 1例 ,误诊率占同期病例的 75 %。结论 :小肠平滑肌肿瘤发病率低 ,无特异症状、体征 ,缺乏特异性检查方法易致误诊。临床医师思维中缺乏对该病的认识 ,过分偏信辅助检查或依赖病史诊断是造成误诊的主要原因。排除诊断可减少误诊。临床涉及本病时 ,应放宽手术探查指征 ,以达到治疗和诊断的双重目的
Objective: To analyze the causes of misdiagnosis of intestinal smooth muscle tumors. Methods: Retrospective case analysis. Results: Of the 12 cases, 2 cases were misdiagnosed as gastritis, 2 cases of duodenal ulcer, 2 cases of pancreatic cancer, 2 cases of colon cancer, and 1 case of hepatitis. The rate of misdiagnosis accounted for 75% of cases in the same period. Conclusion: The incidence rate of small intestine smooth muscle tumors is low, no specific symptoms and signs, and the lack of specific examination method is easy to cause misdiagnosis. There is a lack of understanding of the disease in the thinking of clinicians, and it is excessively believed that the auxiliary examination or the diagnosis of dependent history is the main cause of misdiagnosis. Exclusion of diagnosis can reduce misdiagnosis. When the disease involves the clinic, the indications for surgical exploration should be relaxed to achieve the dual purposes of treatment and diagnosis.