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目的 :探讨合并消化性溃疡结肠癌的诊断及提高对此病的认识。方法 :回顾分析 16例合并消化性溃疡结肠癌的临床资料 ,所有病例均有胃镜、结肠镜及病理检查等资料。结果 :本组共 16例 ,14例十二指肠球部溃疡 ,2例吻合口溃疡 ;10例横结肠癌 ,6降结肠癌 ,误诊率 37.5 %。结论 :临床医生应加强对结肠癌诊断的警惕性 ,强调对粪隐血试验持续阳性的患者及早进行结肠镜检查是快速、正确诊断本病的方法之一。
Objective: To explore the diagnosis of colon cancer with peptic ulcer and improve the understanding of the disease. Methods: The clinical data of 16 cases of colon cancer with peptic ulcer were retrospectively analyzed. All the cases had endoscopy, colonoscopy and pathological examination. Results: A total of 16 cases, 14 cases of duodenal ulcer, 2 cases of anastomotic ulcer; 10 cases of transverse colon cancer, 6 lower colon cancer, misdiagnosis rate was 37.5%. CONCLUSIONS: Clinicians should be more vigilant in the diagnosis of colon cancer and emphasize that early colonoscopy is one of the ways to diagnose this disease in patients with persistent positive fecal occult blood tests.