摘要
目的：对手术病理证实的小肠良性肿瘤70例，就其主要临床表现和有关诊断方法价值进行分析。方法：采用血常规、X线检查和其他检查。结果：小肠良性肿瘤中以平滑肌瘤和血管瘤为多，占82．86％（58／70），病变部位以空肠居首，占57．14％（40／70），无明显慢性腹痛而又反复大出血者，19例急诊血管造影阳性，手术证实的病变部位与造影一致，病理诊断符合率89．47％（17/19）。结论：血管造影对小脑肿瘤出血有定性及定位的诊断价值．小肠钡灌亦有较高的诊断价值．剖腹探查应慎重，以期达到确诊及治疗的目的。
objectives: To analyze the clinical manifestion and the diagnostic methods for 70patients with benign sma1l intestina1 tumors which were confirmed by surgery and pathol0gy.Methods: Blood test, X ray examination and other methods were used in this study. Results.Leiomyoma and angioma are most common among the small intestinal tumors (82.86％), amongwhich 57.14％ were located in jejunum. Massive repeated hemorrhage without significantabdominal pain is the characteristic feature in all. Emergency angiography was performed in l9cases and the accuracy was 89.47％. Conclusions: Angiography is of great value in diagnosis ofsmall intestinal tumor bleeding. Enteroclysis is also helpful. Surgical exploration should be prudentso as to achieve correct diagnosis and treatment.
出处
《中华消化杂志》
CAS
CSCD
北大核心
1997年第2期73-74,共2页
Chinese Journal of Digestion
关键词
良性肿瘤
平滑肌瘤
血管瘤
小肠肿瘤
诊断
Leiamyoma, Angioma, Angiography, Intestine,small,Intestinal neoplasm
