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我们于1970年至1980年收治大肠癌404例,现将误诊的249例报道如下。一、性别与年龄:本组男164例,女85例,年龄16～76岁,其中31～60岁占绝大多数。二、肿瘤分布:直肠144例(57.8％),直肠、乙状结肠交界处11例,乙状结肠36例,降结肠13例,结肠脾曲6例,横结肠10例,结肠肝曲4例,升结肠6例,回盲部19例。三、误诊情况:249例中误诊336人次,其中误诊一种疾病173例,误诊二种疾病65例,误诊三种疾病11例。误诊为肠道慢性炎性疾病的占60％,其中菌痢97例,结肠炎36例,阿米巴痢疾19例,血吸虫肉芽肿49例;误诊痔核38例,肛瘘3例,息肉6例,直肠脱垂2例,非癌性机械性肠梗阻51例,肠套叠5例,阑
We treated 404 patients with colorectal cancer from 1970 to 1980, and now 249 cases of misdiagnosis are reported below. First, gender and age: The group of 164 males and 85 females, aged 16 to 76 years, of which 31 to 60 years accounted for the vast majority. Tumor distribution: 144 cases (57.8%) of rectum, 11 cases of rectum and sigmoid junction, 36 cases of sigmoid colon, 13 cases of descending colon, 6 cases of colon and splenic flexure, 10 cases of transverse colon, 4 cases of hepatic cirrhosis and 6 cases of ascending colon , Ileocecal 19 cases. Third, the misdiagnosis: 249 cases were misdiagnosed 336 people, of which 173 cases of misdiagnosis of a disease, misdiagnosis of two diseases in 65 cases, misdiagnosis of three diseases in 11 cases. Misdiagnosed as intestinal chronic inflammatory diseases accounted for 60%, of which 97 cases of bacillary dysentery, colitis 36 cases, 19 cases of amoebic dysentery, 49 cases of schistosomiasis; 38 cases of hemorrhoids misdiagnosed, anal fistula in 3 cases, polyps in 6 cases, 2 cases of rectal prolapse, 51 cases of non-cancerous mechanical intestinal obstruction, intussusception in 5 cases, Lan