摘要
目的了解老年结肠癌患者误诊情况。方法回顾性分析2005年1月-2010年12月医院老年结肠癌患者误诊病例61例的临床资料。结果 61例误诊的老年结肠癌患者以65-69岁最多,为19例,占31.15%;DukesD期27例,占44.26%;中级、高级分化共43例,占70.49%;误诊分为3种：无任何症状,仅在体检时发现20例,占32.79%;有轻微症状,仅作对症处理12例,占19.67%;症状明显,但被诊治错误29例,占47.54%。另外,手术误诊5例。结论对老年患者,医生应把直肠指诊、大便潜血纳入常规检查项目,及时进行结肠镜、B超、CT、MRT扫描检查,必要时作肿瘤标志物抗原检测,注重手术探查,力争降低结肠癌的误诊率。
Objective To investigate the misdiagnosed cases of elderly patients with colon cancer. Methods The clinical data of 61 elderly patients with misdiagnosed colon cancer,who were treated in the Third People＇s Hospital of Yiyang from January 2005 to December 2010,were retrospectively analyzed. Results Most of the patients were aged between 65 and 69 years（19/61, 31.15%）. 27（44.26%） patients were with Dukes D stage disease and 43（70.49%） were with intermediate or advanced differentiation.There were 3 kinds of misdiagnoses,including 20（32.79%） cases without any symptoms and only found in the examination,12（19.67%） cases with mild symptoms and only received expectant treatment,and 29（47.54%） misdiagnosed cases with obvious symptoms.In addition,5 cases were misdiagnosed by surgical operation. Conclusions Digital rectal examination and fecal occult-blood testing should be involved in the routine examination items to elderly patients.Patients with suspicious symptoms should timely receive the examinations of colonoscopy,B ultrasound,CT,and MRI;moreover,antigens to tumor markers should be detected if necessary.We should pay special attention to surgical exploration and strive for reducing the misdiagnosis rate of colon cancer.
出处
《实用预防医学》
CAS
2011年第10期1948-1949,共2页
Practical Preventive Medicine
关键词
老年
结肠癌
误诊
Elder
Colon cancer
Misdiagnosis
