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青年人大肠癌误诊原因探讨
引用本文:李廷坚,吴佩雁,候光. 青年人大肠癌误诊原因探讨[J]. 中国医师杂志, 2003, 5(12): 1635-1636
作者姓名:李廷坚  吴佩雁  候光
作者单位:汕头大学医学院第一附属医院普外科,广东,汕头,515041
摘    要:目的 探讨青年人大肠癌的误诊原因,以便早期诊断治疗。方法 回顾性分析62例青年人大肠癌的诊断及其治疗效果。结果 本组直肠癌36例中被误诊为结肠炎7例,痔疮并出血5例,痢疾3例,肛周脓肿并肛瘘2例;结肠癌26例中被误诊为阑尾周围脓肿3例,结肠炎2例,缺铁性贫血1例。误诊率37.1%。结论 青年人大肠癌早期临床症状不明显,恶性程度高,预后差,其治疗水平有赖于对这些特征的认识,力争早期诊断及治疗。

关 键 词:青年人 大肠癌 诊断 误诊原因 治疗 临床症状
文章编号:1008-1372(2003)12-1635-02
修稿时间:2003-05-29

Study on the Cause of Mis-diagnosis on Carcinoma of Large Intestine in Young People
LI Ting-jian,WU Pei-yan,HOU Guang. Surgical. Study on the Cause of Mis-diagnosis on Carcinoma of Large Intestine in Young People[J]. Journal of Chinese Physician, 2003, 5(12): 1635-1636
Authors:LI Ting-jian  WU Pei-yan  HOU Guang. Surgical
Affiliation:LI Ting-jian,WU Pei-yan,HOU Guang. Surgical Department of the 1st Hospital,Medical College,Shantou University,Shantou 515041,China
Abstract:Objective To study the cause of mis-diagnosis on carcinoma of large intestine in young people. Methods We retrospectively reviewed and analyzed the diagnosis and treatment of 62 young people with carcinoma of large intestine from 1990 to 2002. Results Among 36 cases of rectal carcinomas, 7 were diagnosed as colonitis,5 as hemorrhoid,3 as dysentery and 2 as perianal abscess with anal fistula. Among 26 cases of colon carcinomas, 3 were diagnosed as periappendic abscess,2 as colonitis and 1 as iron deficiency anemia.The rate of mis-diagnosis was 37 1%. Conclusions Carcinoma of large intestine in young people was a high malignant tumor with bad prognosis and little symptom in early stage. Surgeons should pay a great attention to the characteristic of this carcinoma to diagnose and treat early
Keywords:Carcinoma  Large intestine  Young people  Mis-diagnosis
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