直肠癌64例误诊原因分析

Analysis of Clinical Misdiagnosis on Rectal Carcinoma:Report of 64 Cases

目的 探讨直肠癌误诊原因及预后。方法 对 6 4例直肠癌的临床资料进行回顾性分析。结果 318例中临床误诊 6 4例 ,误诊率 2 0 1% ,被误诊的主要疾病是慢性肠炎 2 3例 (35 9% ) ;内痔 13例 (2 0 3% ) ;细菌性痢疾 12例 (18 8% )。直肠息肉 6例 (9 4 % )。结论 分析误诊原因 :对本病缺乏足够认识 ;不重视直肠指诊检查 ;忽视辅助临床检查 ;缺乏对青年人直肠癌警惕性 ;对直肠息肉恶变认识不足。

Objective To investigate the misdiagnostic causes of rectal carinoma and its prognosis.Methods 64 cases with clinic diagnostic rectal carcinoma,who had undergone colectomy were analysed retrospectively.Results 64 cases from 318 case were clinical misdiagnosed,the misdiagnostic rete was 20 1%.Following main deseases:23 cases of chronic colitis(35 9%),13 cases internal hemorrhoid(20 3%),12 cases of bacterial diarrhea(18 8%) and 6 cases of fissures(9 4%) were misdiagnosed as rectal carcinoma.Conclusions The main midiagnosed reasons were not overally knowledge of rectal carcinoma in the clinical symptoms,neglected rectal digital examination and colonscopy exploration,not alert to rectal carcinoma in young people,deficiency experience of differential diagnosis of rectal carcinoma,in especially the recongnition of rectal polypus malignant transformation.