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我院十二年间收治直肠癌资料完整者73例,均经病理确诊。本文着重对在诊治过程中,院内、外延误诊断的41例(56.2％)进行原因分析,以便吸取教训。误诊有关疾病:慢性痢疾20例,占48.8％,痔疮16例,占39％,慢性结肠炎3例,占7.3％,低位肠梗阻、肠结核各1例,各占2.4％。延误诊断原因:一、从解剖方面,直肠癌发病部位,尤以肛管、直肠下端癌与痔部位相近邻,其症状近似,且均呈现慢性发病过程。而临床上查体(直肠指诊除外)及常用的X线钡剂检查均帮助不大;二、从临床症状方面,大部分直肠癌患者伴有粘液、脓血便、便频、
In our hospital, 73 patients with complete rectal cancer data were confirmed by pathology. This article focuses on the cause analysis of 41 cases (56.2%) misdiagnosed during the diagnosis and treatment process in hospitals and outpatients to learn lessons. Misdiagnosis of related diseases: 20 cases of chronic diarrhea, accounting for 48.8%, 16 cases of acne, accounting for 39%, chronic colitis in 3 cases, accounting for 7.3%, low intestinal obstruction, intestinal tuberculosis in 1 case, each accounted for 2.4%. Causes of delayed diagnosis: First, from the anatomy, the site of rectal cancer, especially in the anal canal, lower rectum cancer adjacent to the hernia, their symptoms are similar, and all showed a chronic pathogenesis. The clinical examination (excluding digital rectal examination) and commonly used X-ray tincture examination are of little help; Second, from the clinical symptoms, most patients with rectal cancer accompanied by mucus, pus and blood, then frequency,