直肠癌184例诊原因探讨

目的 探讨直肠癌的误诊原因，以降低其误诊率。方法 收集206例直肠癌患者的临床资料，统计其中184例误诊病例例的误诊时间并分析误诊原因。结果 误诊184例（89．3％），误诊时间为4－24个月。误诊主要疾病为痔、肠炎、痢疾等。其中57例末及时就诊而延误诊断，初中文化程度以下者56例（98．2％），多来自县、镇、农牧区。结论 要降低直肠癌误诊率，首先要提高对直肠癌的认识，强调出现下消化道症状时直肠指诊应为必检程度。

Misdiagnosis Causes of 184 Cases of Rectal Carcinoma

Objective To inquire into misdiagnosis causes of rectal carcinoma.Methods Clinical data of 206 cases of rectal carcinoma were collected from 1992 to 1997.Among them,184 cases,which had been misdiagnosed,were analyzed.Results Misdiagnosis rate was 89.3%(184/206).The range of misdiagnostic or delayed diagnostic time was from 4 months to 24 months.56 of 57 diagnosis delayed cases were living in poor country and had lower educational level.The misdiagnosed diseases were mainly hemorrhoid,colitis and dysentery.Conclusion It is common that a rectal carcinoma to be misdiagnosed or delayed,the cause may be multiple.In order to decrease the misdiagnosis rate,it is necessary to streng then resume medical education for basis medical practicians,improve living condition of poverty areas and attach the importance to rectal anal diagnosis.