结肠癌误诊为阑尾疾病30例Ⅰ期切除吻合治疗

目的总结结肠癌误诊为阑尾疾病的原因及Ⅰ期手术切除吻合治疗的经验.方法对本三院1 995年1月至2001年1 2月结肠癌误诊为阑尾疾病30例均经手术Ⅰ期切除吻合治疗(右半结肠切除27例、左半结肠切除3例)的临床资料进行回顾性分析.结果30例全部临床治愈出院.术后并发局限性的腹膜炎2例、切口感染3例、肺部感染1例.结论长期右下腹隐痛、大便改变术前拟诊阑尾炎者,要警惕结肠癌,术前应做全面检查,避免误诊.剖腹探查术中发现结肠癌可考虑Ⅰ期切除肿物吻合术,但必须做彻底无污染的肠道减压灌洗术,吻合口要求无张力,符合上空、下通、口正三个基本要求,重视围手术期处理.

The treatment of primary resection and anastomosis of carcinoma of colon misdiagnosed by the diseases of appendix

Objective To submarize the reasons of carcinoma of colon misdiagnosed by the diseasesof appendix and the experience of treatment of primary resection and anastomosis. Methods Toretrospectively analyse 30 cases with carcinoma of colon by the treatment of left hemicolectomy).Results 30 cases were all cured and discharged, among them, 2cases were complicated by localperitonitis after operation,3 cases by infection of incision,1 case by infection of lung.ConclusionsThe diagnosis of carcinoma of colon must be depleted by using related examination in patients with long-time right lower abdominal pain and the change of stool, the primary resection and anastomosis may besafe after intestinal lavation.no-tension anastomosis and peri-opertive treatment.