摘要
目的:分析新疆医科大学附属肿瘤医院院外首诊误诊误治妇科常见恶性肿瘤病人资料,以期提高妇科恶性肿瘤患者的首诊正确率及规范治疗。方法:对2002年～2006年间新疆医科大学附属肿瘤医院接诊的43例院外首诊误诊误治的妇科常见恶性肿瘤(卵巢癌、子宫内膜癌、宫颈癌)患者临床资料进行回顾性分析。结果:16例卵巢癌:术前误诊为卵巢良性囊肿10例、卵巢实性占位3例、子宫肌瘤2例、剖腹产术中发现1例。13例子宫内膜癌:术前误诊为子宫肌瘤9例、功能失调性子宫出血4例。14例宫颈癌:术前误诊为慢性宫颈炎6例、盆腔包块3例、子宫肌瘤3例、宫颈上皮内瘤变Ⅲ级2例。43例患者院外术前基本未行规范诊治。转入我院后31例患者接受补救手术治疗。结论:妇科常见恶性肿瘤误诊误治偶有发生,规范正确的首诊过程是避免误诊误治的关键,尽早行补救手术是必要和可行的。
Objective: To analyse the gynecologic malignancy disease treated in tumor affiliated hospital of xinjiang medical university after firstly misdiagnosed and wrongly treated in other hospitals , And expect to improve the frist accurate diagnosis and standardized treatment to the patients with gynecologic malignancy. Methods: 43 gynecologic malignancy patients(ovarian cancer, endometrial cancer, cervical cancer)who were treated in affiliated Tumor Hospital of Xinjiang Medical University after firstly misdiagnosed and mistreatment in other hospitals were retrospectively analyzed. Results; There were 16 ovarian cancer patients, among them 10 cases were diagnosed ovarian benign cyst before operation, 3 cases were pelvic mass , and 2 cases were uterine myoma, one case was found after Caesarean brith. Among 13 endometrial cancer cases, 9 cases were misdiagnosed as uterine myoma ,4 cases were dysfunctional uterine bleeding, among the 14 cases of cervical cancer, 6 cases were misdiagnosed as chronic cervicities,3 cases were pelvic mass, 3 cases were uterine myoma, 2 cases were cervical cancer in situe. All of the 43 patients were not treated systematically in other hospitals. 31 patients received secondary operative treatment after sending on to our hospital. Conclusion: The misdiagnosis and mistreatment of the common gynecologic malignant tumors are not common problem, the procedure of standard treatment and accurate first diagnosis is the key of the avoiding the misdiagnosis and mistreatment, early remedial operation can be performed and necessary.
引文
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