高龄结直肠癌107例误诊辨析  

Misdiagnosis of Colorectal Carcinoma in Elderly Patients: Analysis of 107 Cases

作　　者：路直美 陈继贵 张宇星 徐俊 

机构地区：[1]武汉市第八医院,武汉430010

出　　处：《临床误诊误治》2007年第11期23-25,共3页Clinical Misdiagnosis & Mistherapy

基　　金：武汉市创新体系与环境建设基金项目(2006003108-04)

摘　　要：目的：探讨高龄结直肠癌的误诊原因及防范误诊的对策。方法：我院2001年1月-2006年12月收治高龄结直肠癌168例，回顾性分析院外误诊、误治情况。结果：高龄结直肠癌院外误诊107例，误诊率高达63．7％，误诊时间以5—9个月者居多，误诊疾病为痔疮、细菌性痢疾、粘连性肠梗阻、阑尾炎伴周围脓肿、肠功能紊乱、胆囊炎、胆结石、慢性肠炎、肝肿瘤、消化性溃疡。结论：提高对结直肠癌的警惕性，规范直肠指检、序贯粪隐血栓查及电子结肠镜检查，在外周血中检测结直肠癌标记物、细胞分子及癌基因等，对高龄结直肠癌的早期诊断，减少误诊误治有非常重要的意义。Objective：To Study the cause and countermeasures for misdiagnosis of the elderly patients with colorectal carcinoma . Methods：To Study the cause and countermeasures for misdiagnosis of colorectal carcinoma in elderly patients. Methods：the misdiagnosis and missed diagnosis of colorectal carcinoma in 168 patients over 70 years of age was retrospectively analyzed from 2001 - 2006. Results：Misdiagnosis rate was 63.6% , the mean period of misdiagnosis was 5 to 9 months, the main misdiagnosis included cholecystitis, cholelithiasis, appendicitis, adhesive intestinal obstruction, chronic enteritis, bacteroidal dysentery, hemorrhoids and so on. Conclusion：We should heighten our vigilance to watch out for possible development of colorectal cancer. It is important to decrease rate of the misdiagnosis by rectal palpation according criterion operating procedures, fecal occult blood tests, colonoscopic examination and serum biological markers measurement .

关 键 词：结肠肿瘤 直肠肿瘤 误诊 阑尾炎 肠梗阻 

分 类 号：R735.3[医药卫生—肿瘤]