【摘要】 目的:探讨预防或减少结肠癌并发阑尾炎的漏诊措施及二者并存的治疗方法。方法:对我院1991年1月至2006年1月收治的16例阑尾炎术前漏诊结肠癌的原因和治疗方法进行回顾性分析。结果:肿瘤位于盲肠10例;升结肠5例;肝曲1例。肿瘤未破浆膜直径<2cm5例;直径>2cm~4cm 8例;直径>4cm 3例;肿瘤广泛转移粘连1例。阑尾肿胀表面脓苔5例;头端充血7例;炎性渗出坏疽4例。结论:需提高结肠癌并发阑尾炎的认识,对可疑者需详细询问病史体格检查,完善各项检查,手术时最好取剖腹探查切口,常规探查右半结肠,是防止结肠癌并发阑尾炎漏诊的有效方法,根据术中情况采取不同手术方法。更多还原

【Abstract】 Objective: To explore missing diagnosis measurement for the prevention or reduction of colon cancer complication of appendicitis and treatment method of both complications.Method: Recall analysis for the reason of 16 cases of patients who suffered from missing diagnosis of colon cancer are treated in my hospital from January 1991 to January 2006 and treatment method before the operation of appendicitis.Result: 10 cases of tumor in caecum;5 cases of up colon;1 cases of liver bending;5 cases of tumor unbroken serosa diameter < 2 cm,8 cases of diameter > 2 cm – 4 cm;3 cases of diameter > 4cm;1 cases of tumor extensive transference synechia;5 cases of appendicitis swollen surface pus,7 cases of end congestion;4 cases of inflammation ooze bad subcutaneous ulcer.Conclusion: The improvement of acknowledgement to the colon cancer complication of appendicitis,consultation for the suspected patients for illness history in detail,completion of various items of check,better check belly cutting open under operation,check right colon so as to be an effective method for prevention of missing diagnosis to colon cancer complication appendicitis and take different methods depended on the operation.更多还原