• 临床论丛 • 上一篇    下一篇

以阑尾炎为首发表现的盲肠癌的诊治

李琦,孙惠军,陈玉琢,孟祥朝   

  1. 天津市第三中心医院
  • 收稿日期:2010-04-19 修回日期:2010-07-22 出版日期:2011-01-15 发布日期:2011-01-15
  • 通讯作者: 李琦

The Diagnosis and Treatment of caecal carcinoma Presenting Appendicitis

  • Received:2010-04-19 Revised:2010-07-22 Published:2011-01-15 Online:2011-01-15

摘要: 摘要 目的:总结以阑尾炎为首发表现的盲肠癌的临床特点,探讨早期诊断及治疗盲肠癌的方法。方法:收集本院2004.5月至2009.12月盲肠癌患者33例,以阑尾炎为首发表现的盲肠癌患者6例,对其临床资料进行分析。结果:6例患者2例术中探查确诊;3例通过术前检查确诊,平均较首诊延误3.6月;1例误诊。结论:加深对以阑尾炎为首发表现的盲肠癌的认识,对可疑患者进行详细的术前检查、术中探查及冰冻病理,术后常规随访,可降低盲肠癌的误诊。

关键词: 阑尾炎, 盲肠肿瘤, 腺癌, 诊断, 治疗

Abstract: Abstract [Objective]: To summarize the clinical features of caecal carcinoma complicated with appendicitis, investigate the method of early diagnosis and treatment for caecal carcinoma. [Methods]: There were 33 patients with caecal carcinoma between May 2004 and December 2009 and 6 of them presenting appendicitis. The clinical data were analyzed. [Results]: 2 cases diagnosed in exploration; 3 cases diagnosed by preoperative examination, but the average delay of diagnosis compared with the first visit is 3.6 months; 1 case was misdiagnosed. [Conclusion]: There are some imperative measures to decrease the misdiagnosis by deepening recognization of caecal carcinoma presenting appendicitis, giving more effective preoperative examination, exploration, intraoperative frozen pathology and postoperative routine follow-up.

Key words: appendicitis, cecal neoplasms, adenocarcinoma, diagnosis, therapy