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目的 探讨如何降低青年直肠癌的误诊率及筛选合理的治疗方案。方法 对厦门市第一医院 1987～2 0 0 2年间收治的 10 6例住院病人的临床资料进行回顾性分析。结果 初诊确定诊断 19例 ,误诊 87例 ,误诊率为82 .1% ;5年生存率 31.1%。结论 应针对青年直肠癌的特点采取相应措施 ,缩短确诊时间。应用新辅助化疗、放疗使部分病人病变降期 ,提倡应用双吻合器 ,提高病人保肛机会。健全随访制度 ,提高远期疗效。
Objective To explore how to reduce the misdiagnosis rate of young rectal cancer and screen the reasonable treatment plan. Methods The clinical data of 106 inpatients admitted to the First Hospital of Xiamen from 1987 to 2002 were retrospectively analyzed. Results Initial diagnosis confirmed 19 cases, misdiagnosed 87 cases, misdiagnosis rate was 82.1%; 5-year survival rate was 31.1%. Conclusions The corresponding measures should be taken according to the characteristics of young rectal cancer to shorten the diagnosis time. Application of neoadjuvant chemotherapy, radiotherapy so that some patients down the stage of disease, advocate the use of double stapling, to improve the chance of anointing patients. Improve the follow-up system to improve long-term efficacy.