结肠憩室炎误诊为急性阑尾炎的临床分析(附四例报告)

The clinical analysis of misdiagnosis of colitis diverticulum as acute appendicitis-A report of 4 cases

目的 探讨结肠憩室炎的临床特点及其与急性阑尾炎的区别。方法 对我院近 4年来收治的 6例结肠憩室炎临床资料进行分析。结果 误诊为急性阑尾炎 4例 ,后经剖腹探查确诊。结论 误诊的主要原因为结肠憩室炎发病率低 ,临床表现无特异性 ,医务人员对该疾病认识不够。排除诊断可以减少本病的误诊 ,对腹部疼痛原因不明的患者行X线检查及纤维结肠镜检查 。

Objective To investigate the clinical characteristics of colitis diverticulum and its difference from acute appendicitis. Methods The clinical data of all 6 cases of colitis diverticulum during the last four years were summed and analyzed. Results Four cases of colitis diverticulum were misdiagnosed as acute appendicitis and finally confirmed through abdominal laparotomy with the misdiagnosis rate being 66.7% . Conclusions The main causes of misdiagnosis for colitis diverticulum included the lower morbidity, indistinctive clinical manifestations. The diagnosis with excluding method can reduce the misdiagnosis ratio. X ray and fibercolonoscopic examinations for the patients with unclear abdominal pain are helpful to the diagnosis of colitis diverticulum.