直肠癌误诊35例原因分析

目的:分析直肠癌的误诊原因,并提出减少误诊的需注意的问题。方法:对35例被误诊的直肠癌病例资料进行回顾性分析。结果:45例中临床误诊35例,误诊率77.8%。误诊为的疾病中痔疮11例(31.4%),肠炎7例(20%),痢疾6例(17.1%),直肠息肉5例(14.3%),肠结核3例(8.6%),肛瘘2例(5.7%),前列腺炎1例(2.9%)。结论:对直肠癌缺乏警惕、对本病认识不足、不重视直肠指检及忽视辅助检查是造成误诊的主要原因。

Analysis of Clinical Misdiagnosis on Rectal Carcinoma:Report of 34 Cases

Objective:To analysis the reasons of misdiagnosis in rectal carcinoma patients.Method:Thirty-Five patients with rectal carcinoma that had been misdiagnosed were analyzed retrospectively.Results:Thirty-Five from 45 cases were misdiagnosed and the misdiagnosis rate was 77.8%.Among these patients,11 were misdiagnosed as hemorrhoids(31.4%),7 as colitis(20%),6 as dysentery(17.1%),5 as porctopolypus(14.3%),3 as enterophthisis(8.6%),2 as intestinal fistula(5.7%) and 1 as prostatitis(2.9%).Conclusion:Lack of the knowledge of rectal carcinoma and neglecting rectal digital examination and auxiliary exploration were the main reasons of misdiagnosis.