回盲部癌误诊为阑尾炎11例分析  

Analysis of Ileocecal Junction Tumors Misdiagnosed as Appendicitis in 11 Cases

作　　者：邵荣金 龚伟达[2] 

机构地区：[1]江苏省宜兴市和桥医院,宜兴214211 [2]江苏省宜兴市人民医院,宜兴214200

出　　处：《中国医药导刊》2010年第9期1541-1541,1546,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:部分回盲部肿瘤与阑尾炎临床症状易相互混淆,对其误诊、漏诊的原因进行分析,提高回盲部肿瘤的诊断水平,降低误诊率。方法:对1997年～2008年共2643例因急性阑尾炎住院的病例进行临床回顾分析。结果:回盲部癌误诊为急性阑尾炎7例、阑尾脓肿3例、阑尾炎伴穿孔1例。结论:临床医师应提高对回盲部肿瘤的认识,术前全面分析,术中仔细探查,争取确诊,减少二次手术。Objctive：The clinical signs are apt to confuse between ileocecal carcinoma and appendicitis.The paper analyses the reasons of the misdiagnosis and missing diagnosis.Methods：We reviewed retrospectively 1 lcases of ileocecal carcinoma that were misdiagnosed as appendicitis in 2 643 cases of appendictitrs between 1997 and 2008 in our hospital.Results： 1 lcases of ileocecal carcinoma were misdiagnosed as 3cases of appendiceal abscess,7 cases of acute appendicitis,1 case of perforating appendicitis.Conclusion：Surgeons should improve knowledge of the ileocecal carcinoma,comprehensively analyse before appendectomy.Improve the rate of defimite diapnosis in course of laparotomy and reduce the rate of reoperation.

关 键 词：回首部癌 阑尾炎 阑尾脓肿 

分 类 号：R735.3[医药卫生—肿瘤]