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目的分析结肠癌并急性阑尾炎的误诊原因,减少误诊和误治。方法回顾性分析38例结肠癌并急性阑尾炎的临床资料。结果误诊为急性阑尾炎29例,阑尾穿孔4例,阑尾周围脓肿5例。所有患者均手术治疗,其中急诊手术35例,保守治疗失败后手术治疗3例。其中27例于术中发现阑尾炎并存结肠肿物,行右半结肠根治术;11例行二次手术诊治。结论结肠癌的首发症状可表现为急性阑尾炎的症状和体征,易引起误诊,详细采集病史和查体以及必要的实验室检查是减少误诊的关键。
Objective To analyze the causes of misdiagnosis of colon cancer and acute appendicitis and to reduce misdiagnosis and misdiagnosis. Methods Retrospective analysis of 38 cases of colon cancer and clinical data of acute appendicitis. The results were misdiagnosed as acute appendicitis in 29 cases, 4 cases of appendix perforation, appendix abscess in 5 cases. All patients were surgically treated, of which 35 cases of emergency surgery, conservative treatment fails after surgery in 3 cases. Among them, 27 cases were found appendicitis coexisting colonic mass in the operation, and the right colon resection was performed. In 11 cases, the second operation was performed. Conclusion The first symptom of colon cancer can be manifested as symptoms and signs of acute appendicitis, easily lead to misdiagnosis, detailed history and physical examination as well as the necessary laboratory tests is the key to reduce misdiagnosis.