摘要
目的 :探讨十二指肠肿瘤患者的内镜表现与病理特点以及临床诊断线索。方法 :回顾性分析 6 3例十二指肠肿瘤患者的内镜及病理资料。结果 :十二指肠肿瘤大部分为中老年患者 ,男女之比为 1 .1∶1 ,93.7%肿瘤位于十二指肠乳头部以上 ,其中息肉占 6 6 .7% ,以腺瘤性息肉及炎症性息肉为主 ;平滑肌瘤占 1 5 .8% ;腺癌占 1 7.5 % ,其中恶性度较高者占 6 6 .6 %。十二指肠肿瘤良恶之比为 4 .7∶1。HP感染率为 4 0 %。胃镜可检出 95 .2 %的十二指肠肿瘤。结论 :胃镜诊断十二指肠肿瘤有重要价值 ,十二指肠肿瘤以良性为主 ,十二指肠癌以恶性度较高的腺癌为主。
Objective:To investigate the features of endoscope and pathology of patients with duodenal neoplasms,and clue of clinical diagnosis.Methods:The retrospective study the endoscopic and pathological data were made in 63 cases with duodenal tumor.Results:Duodenal neoplasms were common in the middle-elder patients.The ratio of the male and the female was 1.1∶1.93.7% tumors were above the section of duodenal nipple.Of those,the polyps were 66.7%,which they were mainly adenocarcinoma-liked polyps and inflammatory polyps.Leiomyomas were 15.8%,and adenocarcinoma were 17.5%,which the higher malignant of them were 66.6%.The ratio of the benign and the malignant was 4.7∶1.Infective rate of Helicobacter pylori was 40%.95.2% duodenal tumors could find under endoscopy.Conclusions:It is very valuable in diagnosis duodenal tumors by gastroendoscope.The duodenal tumors are mainly benign, but duodenal cancers are mainly higher malignant adenocarcinomas.
出处
《赣南医学院学报》
2004年第3期298-300,共3页
JOURNAL OF GANNAN MEDICAL UNIVERSITY
关键词
肿瘤
十二指肠
内镜
Neoplasm
Duodenum
Endoscope
Pathology
