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目的探讨如何降低胃肠道肿瘤漏诊的发生率。方法回顾性分析7例腹部手术后并存胃肠道肿瘤患者的临床资料。结果7例均漏诊,5例二次手术,1例术中发现,1例未跟踪。结论胃肠道肿瘤早期无特异性临床症状,且极易被其他伴发疾病的诊断所掩盖,故临床医生应对病史、体检及辅助检查仔细分析,重视术中探查,防止漏诊的发生。
Objective To explore how to reduce the incidence of missed diagnosis of gastrointestinal cancer. Methods The clinical data of 7 patients with gastrointestinal cancer coexisting after abdominal surgery were retrospectively analyzed. Results All 7 cases were missed, 5 cases had secondary surgery, 1 case was found during operation, and 1 case was not tracked. Conclusion There are no specific clinical symptoms in early stage of gastrointestinal cancer, and it is easily covered by the diagnosis of other associated diseases. Therefore, the clinician should carefully analyze the medical history, physical examination and auxiliary examination, and pay attention to intraoperative exploration to prevent missed diagnosis.