中国医师杂志
中國醫師雜誌
중국의사잡지
JOURNAL OF CHINESE PHYSICIAN
2015年
4期
494-497
,共4页
子宫内膜肿瘤/诊断%误诊
子宮內膜腫瘤/診斷%誤診
자궁내막종류/진단%오진
Endometrial neoplasms/DI%Diagnostic errors
目的 分析子宫内膜癌常见误诊、漏诊原因.方法 以“子宫内膜癌”和“误诊、漏诊”为关键词在中国知网和万方数据库进行检索.结果 有具体病史资料的患者37例,其中因诊断性刮宫结果假阴性,未及时诊断10例,占总数的27.0％;将异常阴道出血诊断为妇科子宫良性疾病14例,占总数的37.8％;因内膜癌的转移或继发症状掩盖原发症状而误诊13例,占总数35.1％.结论 重视内膜癌的症状,警惕内膜癌的发生是减少子宫内膜癌漏诊和误诊的关键原因.
目的 分析子宮內膜癌常見誤診、漏診原因.方法 以“子宮內膜癌”和“誤診、漏診”為關鍵詞在中國知網和萬方數據庫進行檢索.結果 有具體病史資料的患者37例,其中因診斷性颳宮結果假陰性,未及時診斷10例,佔總數的27.0％;將異常陰道齣血診斷為婦科子宮良性疾病14例,佔總數的37.8％;因內膜癌的轉移或繼髮癥狀掩蓋原髮癥狀而誤診13例,佔總數35.1％.結論 重視內膜癌的癥狀,警惕內膜癌的髮生是減少子宮內膜癌漏診和誤診的關鍵原因.
목적 분석자궁내막암상견오진、루진원인.방법 이“자궁내막암”화“오진、루진”위관건사재중국지망화만방수거고진행검색.결과 유구체병사자료적환자37례,기중인진단성괄궁결과가음성,미급시진단10례,점총수적27.0％;장이상음도출혈진단위부과자궁량성질병14례,점총수적37.8％;인내막암적전이혹계발증상엄개원발증상이오진13례,점총수35.1％.결론 중시내막암적증상,경척내막암적발생시감소자궁내막암루진화오진적관건원인.
Objective To investigate the main causes of the missed and delayed diagnosis of endometrial carcinomas.Methods "Endometrial carcinoma" and "missed and delayed diagnosis" were used as key words to search in the Chinese National Knowledge Infrastructure and Wanfang Data.Results There were 37 cases with details.Among these,10 cases were caused by false negative D&C (27.0％ of the total);14 cases were caused by misdiagnosis as uterine benign disease (37.8％ of the total);13 cases were caused by the overlooking of the primary symptoms because of the advanced diseases.Conclusions Paying more attention to the symptoms of endometrial carcinomas is necessary to reduce the missed and delayed diagnosis of endometrial carcinoma.
