摘要
目的：分析胰腺癌误诊病例临床特点、辅助检查，以提高对胰腺癌的认识。方法：采用回顾性分析，复习1995年10月-2003年10月300例胰腺癌病例。结果：①300例误诊70例；②主要误诊为胃炎（27例，38．6％）、肠炎（3例，4．3％）、胆囊炎（3例，4．3％）、慢性胰腺炎（3例，4．3％）、急性胰腺炎（3例，4．3％）等。有14例出现症状时未予重视而未给诊治；10例去医院检查未见异常（14．2％）。③ERCP是诊断胰腺癌误诊率最低的影像学手段。结论：掌握胰腺癌的临床特点，避免误诊误治。
Objective：To analyze clinical characteristics, accessory examinations for pancreatic cancer in misdiagnosed cases in order to improve the knowledge of pancreatic cancer. Methods：A retrospective study was performed over the clinical data from the patients with pancreatic cancer hospitalized from October in 1995 to October in 2003. Results：①70 cases were misdiagnosed out of 300 patients ;②they were mainly misdiagnosed with gastritis （27 cases, 38.6% ）, enteritis （ 3 cases,4.3% ） , cholecystitis （3 cases,4. 3% ） ,chronic pancreatitis （3 cases,4.3% ） ,acute pancreatitis （3 cases,4.3% ）. Another 14 cases did not draw any attention and received no diagnostic procedure and management even some manifestations were present;no abnormalities were found in another 10 cases;③the lowest misdiagnosis rate was produced by ERCP,of all the image examinations. Conclusion：Physicians were expected to have a good command of clinical features of pancreatic cancer so that misdiagnosis and mistreatment could be avoided.
出处
《临床误诊误治》
2006年第4期32-33,共2页
Clinical Misdiagnosis & Mistherapy
关键词
胰腺肿瘤
影像学检查
误诊
Pancreatic tumor
Image examination
Misdiagnosis
