口腔癌误诊41例分析

Analysis of 41 Cases of Oral Carcinoma Misdiagnosed

探讨口腔癌延误诊断的原因和避免误诊的方法。方法：回顾我院1993年4月至1998年3月间收治的口腔癌患者67例，其中曾被误诊为其它疾病者41例，并分析误诊原因。结果：本组误诊率为61．2％。主要原因有①早期口腔癌症状不明显；②广大群众对口腔癌缺乏常识；③部分医务人员对口腔癌认识不足，警惕性不高。结论：病理检查是诊断口腔癌的唯一手段；加强口腔癌常识的宣传工作，提高医务人员对口腔癌的认识和诊断水平，能减少延误就诊时间，避免误诊及误治。

Objechve: To study reasons of misdiagnosis of oral carcinoma and methods to advoid it.Method: FromApril 1993 to March 1998, 67 cases of oral carcinoma recieved treatment,and misdiagnosis occured in 41 cases. All wereof observed and analysed.Result:Misdiagnosis rate was 61 .2%. Most misdiagnosis resulted from unobvious symptoms ofearly oral carcinoma, lack of realization of oral cacinoma in public and its special knowledges in some medical staff.Conclusion: Biopsy is the only method to diagnose. Misdiagnosis could be reduced or advoided through strengtheningconstructions of i ts common knowledges in public,improving diagnosis level of oral carinoma in medical staff.