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分析结肠癌并存急性阑尾炎患者的误诊原因 ,以降低误诊率。方法 对 19例误诊患者的临床资料进行回顾性分析。结果 男 12例 ,女 7例。平均年龄 5 1(37～ 6 1)岁。19例均有典型急性阑尾炎的临床表现 ,近期内有大便习惯改变 ,消瘦 ,乏力 ,贫血者 7例 ;右下腹扪及肿块 3例 ,但均误诊为急性阑尾炎、阑尾脓肿而行手术治疗。 13例行一期右半结肠切除术 ,6例行二期切除术。术后生存时间为 0 5～ 17年。一期结肠癌切除患者生存时间明显长于二期切除者。结论 结肠癌并存急性阑尾炎时结肠癌易误诊和漏诊 ,需高度警惕 ,特别对年龄在 45岁以上者 ,术前应进行必要的辅助检查 ,术中要仔细探查 ,术后密切追踪观察
To analyze the causes of misdiagnosis in patients with colon cancer complicated with acute appendicitis to reduce the misdiagnosis rate. Methods The clinical data of 19 cases misdiagnosed were retrospectively analyzed. Results 12 males and 7 females. The average age of 5 1 (37 ~ 6 1) years old. 19 cases were typical clinical manifestations of acute appendicitis, the recent changes in stool habits, weight loss, fatigue, anemia in 7 cases; right lower quadrant palpable mass in 3 cases, but were misdiagnosed as acute appendicitis, appendix abscess and surgical treatment. 13 cases of a right half of the colon resection, 6 cases of secondary resection. Survival time was 0 5 ~ 17 years. The survival time of patients with resected colon cancer was significantly longer than that of secondary resection. Conclusion Colon cancer with acute appendicitis complicated misdiagnosis and missed diagnosis, need a high degree of vigilance, especially for people over the age of 45, the necessary preoperative auxiliary examination, intraoperative exploration should be carefully followed closely follow-up observation