论文部分内容阅读
目的:了解肠镜下误诊漏诊大肠癌的原因,探讨减少误诊、漏诊的方法。方法:回顾性分析本院1998～2008年经肠镜检查误诊漏诊的大肠癌患者的临床资料。结果:本院同期确诊大肠癌178例,经肠镜检查误诊漏诊28例,误诊漏诊率15.7%,其原因多为肠镜检查技术不熟练、检查不仔细、检查前准备不充分,以及肠镜诊断水平不高。结论:提高医务人员肠镜操作诊断水平,检查仔细、充分肠道准备可减少肠镜下大肠癌的误诊漏诊。
Objective: To understand the causes of misdiagnosis of colorectal cancer under colonoscopy and to explore ways to reduce misdiagnosis and missed diagnosis. Methods: The clinical data of colon cancer patients misdiagnosed by colonoscopy from 1998 to 2008 in our hospital were analyzed retrospectively. Results: 178 cases of colorectal cancer were diagnosed at the same period in our hospital. 28 cases were misdiagnosed by colonoscopy and 15.7% were misdiagnosed. The reasons are mostly unskilled colonoscopy, inadequate examination, inadequate preparation before examination, and colonoscopy Diagnostic level is not high. Conclusion: To improve the diagnosis of colonoscopy in medical staff, careful and adequate bowel preparation can reduce the misdiagnosis of colorectal cancer under colonoscopy.