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直肠癌是肛肠外科的常见病、多发病,在整个消化道中,是仅次于胃癌的高发性恶性肿瘤。由于其位置浅表检查方便,故诊断上较其他胃肠肿瘤易于发现,理应得到早期诊断及合理治疗,预后应良好。但临床工作中仍不断出现误诊及漏诊,以致丧失手术时机。本文综合我院从1972~1990年收治直肠癌病人共82例,其中有40例误诊为其它各种疾病(占48.7%),现将其误诊的情况和原因分析如下。
Rectal cancer is a common and frequently-occurring disease of anorectal surgery. It is the second most common malignant tumor after gastric cancer in the entire digestive tract. Due to its convenient location for superficial examination, it is easier to diagnose than other gastrointestinal tumors. It should be diagnosed early and reasonably treated. The prognosis should be good. However, misdiagnosis and missed diagnosis continue to occur in clinical work, resulting in loss of surgical time. This article sums up 82 cases of rectal cancer patients admitted in our hospital from 1972 to 1990, among which 40 cases were misdiagnosed as other various diseases (48.7%). The analysis of the misdiagnosis and the reasons are as follows.