查詢結果分析
相關文獻
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頁籤選單縮合
題名 | Unrecognized Carcinoma of Right Colon Diagnosed as Appendicitis before Operation=臆斷為闌尾炎的右大腸癌 |
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作者姓名(中文) | 林楨國; 林資琛; 王豐明; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 20:4 1987.07[民76.07] |
頁次 | 頁273-280 |
分類號 | 416.245 |
關鍵詞 | 右大腸癌; 闌尾炎; |
語文 | 英文(English) |
中文摘要 | 1980年1月到1984年12月, 5年之間榮民總醫院一共有197例之右大腸癌病例。其中有17例在腫瘤未診斷前被當作急性闌尾炎接受手術(大部分在其他醫院作闌尾切除手術後轉來本院)。誤診率為91%(17/186)。雖然腫瘤根治切除之機會,並不因誤診為闌尾炎而降低,腫瘤遠處轉移及局部侵犯之機會,也不因誤診為闌尾炎而昇高。但手術後之併發症確因誤診而明顯昇高,且病人確因誤診而需要住院較久,負擔較多的醫療贊用。當病人有疑似"闌尾炎"症狀時,外科醫師應作更仔細的檢查,特別是當症狀不是很典型而病人曾有腹絞痛、血便、失重等症狀時,需考慮大腸癌的可能性。如果手術前仍無注診斷,則手術中應仔細揮查。有時因局部發炎,沾粘而無法探查,則手術後兩適應作大腸鏡或大腸鋇劑顯影檢查。 |
英文摘要 | Seventeen cases of right colon ωncer had been operated upon for acute appendicits before. the cancer was diagnosed. This occurred in 17 of 186 right colon cancer patient (9.1 percent) admitted to Veterans General Hospital, Taipei, Taiwan, from January 1980 to December 1984. Although the chance of curative resection, adjacent organ invasion or distant metastasis were not influenced by delayed diagnosis, the number of operation needed, rate of complication and hospital stay were definitely increased. More detailed preoperative examination and operative exploration are essential for all "appendicitis" patients, especially those presenting with a typical symptoms or signs. Barium enema or colonofibroscopy should be performed before or even after the initial operation if the diagnosis is not definite or in any way suspect. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。