摘要
目的:分析表现为急性阑尾炎的结肠癌漏诊的原因,探讨及时诊断、治疗的措施。方法:对我院近10年收治的表现为急性阑尾炎的结肠癌27例临床资料作回顾分析。结果:27例首次诊断急性阑尾炎(外院5例),全部作阑尾切除,术中诊断结肠癌15例,12例作Ⅰ期结肠癌根治术,3例无法根治;漏诊12例(外院5例),术后3天～6个月诊断结肠癌,8例作Ⅱ期结肠癌根治术,3例无法根治,1例放弃治疗。病理诊断:结肠癌26例,急性阑尾炎17例,慢性阑尾炎5例。26例治愈出院,1例放弃诊疗。随访9例,生存3年以上5例,生存5年以上4例。结论:对本病认识不足是漏诊的主要原因,提高认识、重视腹腔探查可提高诊断率,确诊后应及时Ⅰ期手术根治。
Objective: To explore methods for diagosis and treatment in time according to analyze reasons of misdiagnosis of colonic carcinoma manifestating as acute appendicitis. Methods: Clinical data of 27 cases colonic carcinoma manifestating as acute appendicitis in recent 10 years were reviewed. Results: The first diagnosis of all 27 cases were acute appendicitis, and all accepted appendectomy. 15 cases were diagnosed clonic carcinoma during abdominal dectection, 12 cases of whilch accepted I stage colonic carcinoma radical operations, and the rest 3 cases could not accepted radical operations. 12 misdiagnosis cases were diagnosed colonic carcinoma from 3 days to 6 month after appendectomy, 8 cases of which accepted Ustage colonic carcinoma radical operations, 3 cases could not accepted radical operation, and 1 case gave up ang treatment. Pathological diagnosis: colonic carcinoma 26 cases, acute appendicitis 17 cases, chronic appendicitis 5 cases. 3 years survival were 5 cases and 5 years survival were 4 cases among 9 cases followd up. Conclusions: The main reason of misdiagnosis was lacking of knowledge of the disease. Paying attention to abdominal dectetion and knowledge of the disease was helpful for correct diagnosis. I styage radical operation must be done in time after diagnosis.
出处
《岭南急诊医学杂志》
2003年第1期28-29,32,共3页
Lingnan Journal of Emergency Medicine
关键词
急性阑尾炎
结肠癌
诊断
治疗
根治术
临床资料
colonic carcinoma
acute appendicitis
misdiagnosis
radical operation
