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横结肠癌少见,易误诊。发现时多为晚期,因合并周围脏器受侵而无法手术切除,预后差。我院近10年来共手术治疗横结肠癌48例,其中38例为误诊病例,误诊率为79％。现将误诊原因进行分析,并对早期诊断进行探讨。 1 临床资料 1.1 一般资料:本组男16例,女22例,年龄16～81岁,平均年龄54.5岁。出现症状到确诊时间1个月～3年,平均8.5个月。 1.2 临床表现:腹痛18例,贫血10例,肠梗阻8例。腹部包块6例,腹痛伴便血、便细、贫血发热或腹部包块等典型症状者13例,纳差19例。腹胀17例,肿瘤慢性穿孔4例。
Horizontal colon cancer is rare and often misdiagnosed. Most of the time when it was found late, due to invasion of the surrounding organs can not be surgically removed, the prognosis is poor. In our hospital for the past 10 years, 48 cases of transverse colon cancer have been treated surgically, of which 38 cases were misdiagnosed and the misdiagnosis rate was 79%. Misdiagnosis causes will be analyzed and early diagnosis will be discussed. 1 Clinical data 1.1 General information: This group of 16 males and 22 females, aged 16 to 81 years, mean age 54.5 years. Symptoms lasted from 1 month to 3 years, with an average of 8.5 months. 1.2 Clinical manifestations: 18 cases of abdominal pain, 10 cases of anemia, and 8 cases of intestinal obstruction. There were 6 cases of abdominal masses, 13 cases of typical symptoms such as abdominal pain with blood in the stool, thin, anemia fever or abdominal mass, and 19 cases of anorexia. Bloating in 17 cases, chronic perforation in 4 cases.