46例右半结肠癌误诊原因分析

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，应仔细检查回盲部、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。

Analysis of the Causes of the Disdiagnosis of Right Colon Cancer

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.