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我院自1990年2月～1997年6月共收治直肠癌218例,其中入院前在外院误诊误治1个月以上192例,在误诊病例中,159例做肛门指诊可触及肿瘤。本文回顾性地总结和分析了误诊的原因,以阐明肛门指诊在直肠癌早期诊断中的价值。 1 临床资料 本组误诊192例,占直肠癌患者88％,其中男性105例,女性87例。年龄26～82岁,平均年龄46岁。误诊误治时间1～3个月102例,4～6个月63例,7～12个月22例,13个月以上6例,其中最长1例达23个月。误诊疾病:肠炎83例,痔疮61例,痢疾43例,肛裂5例。肿瘤距肛缘<3cm21例,3～5cm86例,6～8cm
In our hospital from February 1990 to June 1997, a total of 218 cases of rectal cancer were treated. Among them, 192 cases were misdiagnosed and misdiagnosed in the external hospital for more than one month before admission. Among the misdiagnosis cases, 159 cases were diagnosed with anal can touch the tumor. This article retrospectively summarizes and analyzes the causes of misdiagnosis to elucidate the value of anal examination in the early diagnosis of rectal cancer. 1 Clinical data This group misdiagnosed 192 cases, accounting for 88% of patients with rectal cancer, including 105 males and 87 females. Age 26 to 82 years, mean age 46 years old. There were 102 cases of misdiagnosis and mistreatment and 1 to 3 months of treatment, 63 cases of 4 to 6 months, 22 cases of 7 to 12 months, and 6 cases of more than 13 months. The longest one case was 23 months. Misdiagnosis diseases: 83 cases of enteritis, 61 cases of acne, 43 cases of dysentery, and 5 cases of anal fissure. Tumor margin <3cm in 21 cases, 3 to 5cm in 86 cases, 6 to 8cm