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回盲部癌58例误诊分析

Analysis of misdiagnosis of 58 cases of ileocecal cancer
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摘要 目的探讨回盲部癌的误诊原因及应对措施,提高对回盲部癌的认识。方法对58例误诊病例进行回顾性分析。结果本组58例回盲部癌曾被误诊为阑尾疾病26例(44.8%),回盲部结核11例(19.0%),胆道疾病9例(15.5%),结肠炎6例(10.3%),缺铁性贫血3例(5.2%),右卵巢肿瘤2例(3.4%),右输尿管结石1例(1.7%)。结论回盲部癌极易误诊,提高对本病的认识和警惕性,并通过详细询问病史,认真仔细地体格检查,结合相应的辅助检查,多方面、多角度地综合分析是减少误诊率的重要措施。 Objective To investigate the reason for misdiagnosis of ileocecal cancer and the measures to deal with it, and to improve the understanding of ileocecal cancer. Methods Totally 58 misdiagnosed cases were retrospectively analyzed. Results The 58 cases of ileocecal cancer had been misdiagnosed as ap- pendix diseases ( n = 26, 44. 8% ), ileocecal tuberculosis ( n = 11, 19. 0% ), biliary tract diseases (n=9, 15.5%), colitis (n=6, 10.3%), iron deficiency anemia (n=3, 5.2%), right ovarian tumors (n = 2, 3.4% ), and right ureteral calculus ( n = 1, 1.7% ). Conclusion Ileocecal cancer can be misdiagnosed easily. Efforts should be made to minimize misdiagnosis rate, we should improve the understanding and alertness of the cancer.
出处 《癌症进展》 2008年第6期628-631,共4页 Oncology Progress
关键词 回盲部癌 误诊 ileocecal cancer misdiagnosis
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