大肠癌误诊原因分析

Misdiagnostic analysis of colon cancer

本文回顾性分析了广西民族医院大肠癌误诊１１４例，男７７例，女３７例，年龄１７～９１岁。以误诊为肠炎、菌痢、阑尾炎、肠梗阻、痔疮、阿米巴痢疾为多见，分别占误诊病例的３０．７％、２８％、１８．４％、１６．７％、１０．５％、７％。误诊时间２６天～２年。作者分析了误诊原因，提出了预防的对策，认为凡有原因不明的不规则腹痛、腹泻或腹泻便秘交替、大便性状改变、粘液血便、里急后重感等症状者，重视“一指三查”即直肠指诊、大便潜血检查、乙状结肠镜检查、钡灌肠检查，是降低大肠癌的误诊率的关键。

14 cases of colon cancer misdiagnosed in our hospital were analized retrospectively。77 patients were male and 37 were female。The age was ranged from 19 to 91 years.These patients were mainly misdiag nosed as enteritis,bacillary dysentery,appendicitis,intestinal obstruction,hemorrhoid,amebic dysentery and the misdiagnosis rates were 30.7%,28%,18.4%,16.7%,10.5%,7%,respectively,misdiagnosis time was from 26 days to 2 years,In this paper,authors analysed the misdiagnosis causes of colon cancer and proposed some preventive methods.When patients hdve symeltoms such as abdominal pain of unknown cause,diarrhea,diarrhea and constipaton in turns, unshaped stools,mucous blood,stools and tenesmus,doctors must perform digital examintion,stool occult blood test,barium enema x ray,sigmoidscopy on the patients。These were the key of cuttiing down the misdiagnosis rate of colon cancer