临床误诊误治Issue(10)：55-57,3.DOI:10.3969/j.issn.1002-3429.2015.10.018
高龄老年直肠癌47例临床特点及误诊分析
Clinical Characteristics and Cause Analysis on Misdiagnosis of Colorectal Cancer in Elderly Patients
杜娟 1宋彬 2齐娜 3任既晨1
作者信息
- 1. 130012 长春，吉林省肿瘤医院内二科
- 2. 130033 长春，吉林大学中日联谊医院胃肠外科
- 3. 130012 长春，吉林省肿瘤医院超声科
- 折叠
摘要
Abstract
Objective To explore the features of misdiagnosed elderly rectal cancer patients ,to analyze the misdiag-nosis causes and precautionary measures. Methods Clinical data of 47 misdiagnosed elderly samples during December 2009 and January 2014 were retrospectively analyze. Results The average age was 78. 8 years, accompanied with many basic dis-eases. Clinical manifestations included:change of habit of bowel loosening, hematochezia and black stool. 3 patients had a-cute intestinal obstruction at onset and 2 patients had lumps in the left lower abdomen. They were diagnosed with operation or pathology. They had been misdiagnosed as enteritis (15 cases), hemorrhoids (14 cases), habitual constipation (7 cases), rectitis (6 cases), anal fissure (3 cases)and dysentery (2 cases) before admission to our hospital. In the follow-up study, 28 patients died during 12-36 months of follow-up and 1 year survival rate and 3 year survival rate was 57. 4% and 40. 4% re-spectively. Conclusion Improving the understanding of the disease, paying great attention to rectal touch and colonoscopy are essential to avoid misdiagnosis of rectal cancer.关键词
直肠肿瘤/老年人/误诊/结肠炎/痔/便秘/直肠炎/肛裂/痢疾Key words
Rectal neoplasms/Aged/Misdiagnosis/Colitis/Hemorrhoids/Constipation/Proctitis/Fissure in ano/Dysentery分类
医药卫生引用本文复制引用
杜娟,宋彬,齐娜,任既晨..高龄老年直肠癌47例临床特点及误诊分析[J].临床误诊误治,2015,(10):55-57,3.
