福建医药杂志
福建醫藥雜誌
복건의약잡지
FUJIAN MEDICAL JOURNAL
2000年
6期
19-20
,共2页
右半结肠癌%误诊原因%早期诊断
右半結腸癌%誤診原因%早期診斷
우반결장암%오진원인%조기진단
Right colon cacer Cause of disdiagnosis Early diagnosis
目的 探讨减少右半结肠癌误诊误治，争取早期诊断与治疗。方法分析本院9年来收治的63例右半结肠癌中有46例均有误诊误治经过，误诊率为73％。结果因误诊误治造成7例患者只能行结肠肿瘤姑息性切除术，3例行二期手术，另3例因广泛转移无法手术，出院后1～2个月内死亡。结论掌握本病临床表现特点，详细询问病史，术前行钡灌摄片，以气钡双重造影为佳，必要时行CT、B超检查；术中发现阑尾病变与临床表现不相符，应仔细探查回盲部、升结肠；对不能确诊结肠肿块，应行术中冰冻病理检查，可提高诊断率。
目的 探討減少右半結腸癌誤診誤治，爭取早期診斷與治療。方法分析本院9年來收治的63例右半結腸癌中有46例均有誤診誤治經過，誤診率為73％。結果因誤診誤治造成7例患者隻能行結腸腫瘤姑息性切除術，3例行二期手術，另3例因廣汎轉移無法手術，齣院後1～2箇月內死亡。結論掌握本病臨床錶現特點，詳細詢問病史，術前行鋇灌攝片，以氣鋇雙重造影為佳，必要時行CT、B超檢查；術中髮現闌尾病變與臨床錶現不相符，應仔細探查迴盲部、升結腸；對不能確診結腸腫塊，應行術中冰凍病理檢查，可提高診斷率。
목적 탐토감소우반결장암오진오치，쟁취조기진단여치료。방법분석본원9년래수치적63례우반결장암중유46례균유오진오치경과，오진솔위73％。결과인오진오치조성7례환자지능행결장종류고식성절제술，3례행이기수술，령3례인엄범전이무법수술，출원후1～2개월내사망。결론장악본병림상표현특점，상세순문병사，술전행패관섭편，이기패쌍중조영위가，필요시행CT、B초검사；술중발현란미병변여림상표현불상부，응자세탐사회맹부、승결장；대불능학진결장종괴，응행술중빙동병리검사，가제고진단솔。
Objective: In order to reduce disdiagnosis and mistake treatment, strive for early diagnosis and treatmeat. Method:Analysis of all right colon cancer of our hospital (1991.6-2000. 6), 46/63 cases were disdiagnosed, disdiagnosis rate is 73%.Result: 7 cases of right coloncancer were palliatively operated, 3cases were delayedly operated and another 3 cases could not beoperated due to extensive metastasis, died in 1-2 months. Conclusion: Grasp clinical characters of the right colon cancer, detailed case history, x-ray photograph, especially Gas-Barium Double photograph, CT. B-us necessarily. Once clinical character isinconsistent with appendicopathies, cecocolon and ascending colon should be detected. Indeterminated colon mass should be frozenand examinated pathologically, diagnosis rate was increased.
