胰腺癌漏诊分析

• 作 者: 姜明 孙权赫 王璐 高凤荣 马洪滨
• 机 构: 大连化学工业集团有限责任公司医院外一科,大连化学工业集团有限责任公司医院外一科,大连化学工业集团有限责任公司医院外一科,大连化学工业集团有限责任公司医院外一科,大连化学工业集团有限责任公司医院外一科
• 出 处: 中国肿瘤临床与康复
• 发表日期: 1998年04期
• 关键词: 漏诊分析 并存病 胆总管下段 病理诊断 十二指肠降部 胆囊增大 胰体尾 上腹 胆总管直径 右上腹压痛

胰腺癌临床表现复杂 ,尤其有并存病或并发症时 ,诊断比较困难。笔者总结 6例以胰腺癌的各种并存病或并发症手术 ,经术中及病理诊断胰腺癌病例 ,从中寻找和分析术前漏诊胰腺癌的原因 ,认为有些胰腺癌的并存病或并发症表现比较突出 ,混淆或掩盖了胰腺病变的存在 ,同时检查手段的局限和不可靠以及临床综合分析判断的不够深入细致 ,是造成漏诊的主要原因。

The clinical manifestations of pancreatic cancer are complex, especially when there are complications or complications, diagnosis is difficult. The author summarizes 6 cases of pancreatic cancer, a variety of comorbidities or complications of surgery, intraoperative and pathological diagnosis of pancreatic cancer cases, from which to find and analyze the cause of preoperative missed pancreatic cancer, that some coexisting disease or complications of pancreatic cancer More prominent, confused or cover up the existence of pancreatic lesions, at the same time the limitations and inconsistencies of the means of examination and clinical comprehensive analysis of the judgment is not thorough enough, is the main cause of missed diagnosis.