回盲部癌58例误诊分析

Analysis of misdiagnosis of ileocecal cancer: a report of 58 cases

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,并通过详细地询问病史,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 reasons of misdiagnosis for ileocacal cancer and explore the preventive measures, and improve the understanding of ileocecal cancer. Methods Fifty-eight misdiagnosed patients were reviewed and all the data were analyzed retrospectively. Results All the 58 cases of ileocecal cancer were misdiagnosed as appendix diseases in 26 cases （44.8%）, ileocecal tuberculosis in 11 cases （19.0%）, biliary tract diseases in 9 cases （15.5%）, colitis in 6 cases （10.3%）, iron deficiency anemia in 3 cases （5.2%）, right ovarian tumors in 2 cases （3.4%）, and right ureteral calculus in 1 case （ 1.7% ）. Conclusions Ileocecal cancer can be misdiagnosed easily, therefore, to reduce the misdiagnosis rate, we should improve the understanding and alertness of the cancer, and by inquiring into detailed medical history, cautious physical and corresponding examinations, and multi-dimensional and multi-angle-integrated analysis, we will achieve a better diagnosis.