摘要
目的分析直肠癌误诊原因。方法分析我院１９９０．１－１９９８．６月收治的直肠癌患者１８２例。结果１８２例中误诊（指首诊）４５例，误诊率为２４．３％。平均误诊时间６．６个月。被误诊的主要疾病是慢性肠炎（占３７．７％）、内痔（２０．０％）、细菌性痢疾（１７．７％）、直肠息肉（６．６％）、肛裂（４．４％）。结论直肠癌误诊的主要原因是：１．对直肠癌的临床症状特点认识不足。２．忽视直肠指诊。３．不重视直肠镜及乙状结肠镜检查。４．对年青人直肠癌缺乏警惕性。５．对直肠癌可以和直肠肛管良性疾病并存认识不足，尤其对直肠息肉恶变缺乏警惕。
Objective To analyze the cause of reatal carcinoma misdiagnosis.Methods 182 cases of rectal carcinoma were collected between 1990.1-1998.6 in our hospital.Results 45 cases were misdiagnosed.The misdiagnosis rate was 24.3% .Those main diseases misdiagnosed were chronic colitis ( 37.7% ),internal hemorrhoid ( 20.0% ),bacterial diarrhea ( 17.7% ),anal fissures ( 4.4% ).Conclusions The main misdiagnosed reasons were not overally knowledge of rectal carcinoma clinical symptoms,neglect of rectal digital examination;colonscopy examination;not alert to reatal carcinoma in young people;not differential diagnose of reatal carcinoma and not malignant rectalanal diseases,especially not knowledge of rectal polypus malignant transformation.
出处
《中国肿瘤临床与康复》
1999年第3期42-43,共2页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
直肠癌
误诊
诊断
Reatal carcinoma Misdiagnose
