直肠癌误诊35例原因分析

Analysis of Clinical Misdiagnosis on Rectal Carcinoma:Report of 34 Cases

目的:分析直肠癌的误诊原因,并提出减少误诊的需注意的问题。方法:对35例被误诊的直肠癌病例资料进行回顾性分析。结果:45例中临床误诊35例,误诊率77.8%。误诊为的疾病中痔疮11例(31.4%),肠炎7例(20%),痢疾6例(17.1%),直肠息肉5例(14.3%),肠结核3例(8.6%),肛瘘2例(5.7%),前列腺炎1例(2.9%)。结论:对直肠癌缺乏警惕、对本病认识不足、不重视直肠指检及忽视辅助检查是造成误诊的主要原因。

Objective： To analysis the reasons of misdiagnosis in rectal carcinoma patients. Method： Thirty - Five patients with rectal carcinoma that had been misdiagnosed were analyzed retrospectively. Results： Thirty - Five from 45 cases were misdiagnosed and the misdiagnosis rate was 77.8%. Among these patients, 11 were misdiagnosed as hemorrhoids （31.4%）, 7 as colitis （20%）, 6 as dysentery （ 17.1% ）, 5 as porctopolypus （ 14.3% ）, 3 as enterophthisis （8.6%）, 2 as intestinal fistula （5.7%） and 1 as prostatitis （2.9%）. Conclusion： Lack of the knowledge of rectal carcinoma and neglecting rectal digital examination and auxiliary exploration were the main reasons of misdiagnosis.