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目的探讨分析右下腹包块在临床诊治工作中的误诊原因及预防办法。方法回顾性分析1994-2010年368例右下腹包块患者的诊治过程。结果右下腹包块最常见的疾病是阑尾脓肿和升结肠癌,临床上容易将结肠癌误诊为阑尾脓肿。结论右下腹包块诊断不清时应仔细询问病史,进行肠镜检查,不能排除恶性肿瘤则有行右半结肠切除的必要。
Objective To investigate the causes and prevention of misdiagnosis of right lower abdominal mass in clinical diagnosis and treatment. Methods Retrospective analysis of 368 cases of right lower quadrant during 1994-2010 diagnosis and treatment of patients. Results The most common diseases of the right lower quadrant mass were appendix abscess and ascending colon cancer. Clinically, colon cancer was easily misdiagnosed as appendix abscess. Conclusion The right lower quadrant mass diagnosis should be carefully asked the history of colonoscopy, colonoscopy can not rule out the malignant tumor line right colon resection is necessary.