青年人大肠癌误诊原因分析

目的:研究青年人大肠癌的误诊原因,以便早期诊断治疗。方法:回顾性分析50例青年人大肠癌的诊断及其治疗效果。结果:本组直肠癌36例中被误诊为结肠炎7例,痔疮并出血5例,痢疾3例,肛周脓肿并肛瘘2例;结肠癌26例中被误诊为阑尾炎周围脓肿3例,结肠炎2例,缺铁性贫血1例。误诊率32%。结论:青年人大肠癌早期临床症状不明显,恶性程度高,预后差,其治疗水平有赖于对这些症状的认识,力争早期诊断及治疗。

Objective ： To study the causes of misdlagnosis of eolorectal cancer in young patients, so that early diagnosis and treatment. Methods ： a retrospective analysis of 50 young patients with eolorectal cancer diagnosis and treatment. Results ： in this group of rectal cancer in 36 eases were misdiagnesed as ulcerafire colitis 7 eases, tumors and hemorrhage in 5 cases, 3 eases of dysentery, perlanal abscess and anal fistula in 2 cases; 26 cases of colon cancer.was misdiagnosed as appendicitis in 3 cases of abscess around, colitis in 2 patients, 1 patients with iron deficiency anemia. The misdiagnesis rate 32%. Conclusion： early clinical symptoms of colorectal cancer in young patients is not clear, high degree of malignancy, poor prognosis, the treatment level depends on the recognition of symptoms, strive for early diagnosis and treatment.