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目的:探讨老年结肠癌误诊为急性阑尾炎的原因及预防误诊的措施。方法:回顾性分析1996/2006年间,经我院收治误诊为急性阑尾炎的36例老年结肠癌患者。结果:误诊病例占同期结肠癌病例总数(560例)的6.43%。其中仅6例术中发现为结肠癌,未导致误治,2例当即行右半结肠切除,4例关腹后二期手术切除。余30例初次手术均仅行阑尾切除,术后因各种症状复诊才得以确诊,延误了诊治。结论:老年结肠癌与急性阑尾炎的诊断与鉴别,仍是目前临床工作中值得注意的重要问题。
Objective: To investigate the causes of misdiagnosis of senile colon cancer as acute appendicitis and to prevent misdiagnosis. Methods: A retrospective analysis of 1996/2006, admitted to our hospital misdiagnosed as acute appendicitis in 36 cases of elderly patients with colon cancer. Results: Misdiagnosed cases accounted for 6.43% of the total colon cancer cases (560 cases) in the same period. Of these, only 6 cases were found to be colon cancer during operation, which did not result in wrong treatment. Two cases were immediately resected right colon, and four cases were resected after surgery. More than 30 cases of the first operation were only appendectomy, postoperative diagnosis of various symptoms was diagnosed, delayed diagnosis and treatment. Conclusion: The diagnosis and differential diagnosis of elderly patients with colon cancer and acute appendicitis are still important issues worth noting in clinical practice.