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目的 :研究青年结肠癌的特点及其误诊原因。材料与方法 :与老年组进行对比研究 ,分析青年结肠癌的临床、病理、手术及术前检查情况。结果 :青年结肠癌半数以上病程在三个月以内 ,临床症状无特异性 ,初诊误诊率 78 9% ;细胞分化程度较低 ,分化不良者占 5 2 6 % ,晚期患者占 36 8% ,手术根治率 5 7 9%。结论 :青年结肠癌发病隐匿且病情发展迅速 ,误诊率高 ,正规的客观检查是提高青年结肠癌诊断的关键
Objective: To study the characteristics of young colon cancer and its causes of misdiagnosis. Materials and Methods: To compare with the elderly group to analyze the clinical, pathological, surgical and preoperative examination of young colon cancer. Results: More than half of the patients with colorectal cancer had a history of less than three months. The clinical symptoms were non-specific. The misdiagnosis rate was 78.9% in the first trimester. The low degree of cell differentiation was 52.6% in poorly differentiated patients and 36.8% in advanced patients. The cure rate was 57.9%. Conclusion: The incidence of occult colitis in young patients is very high and the rate of misdiagnosis is high. Regular and objective examination is the key to improve the diagnosis of young colon cancer