摘要
为了探讨原发性小肠肿瘤所致肠套叠的诊断和治疗特点，对８６例因原发性小肠肿瘤所致的肠套叠进行了临床分析，其中良性肿瘤３９例（４５．４％），主要分布在空肠，多系平滑肌瘤、腺癌和脂肪瘤；恶性肿瘤４７例（５４．６％），主要分布在回肠，多系恶性淋巴瘤、腺癌和平滑肌肉瘤。套叠为顺套８１例（９４．２％），逆套５例（５．８％）；单套６２例（７２．１％），复套２４例（２７．９％）。术前确诊３８例（４４．２％）。治愈７９例（９１．９％）。随访６６例，３７例恶性肿瘤术后２年和５年生存率分别为８１％和４０．５％。作者结合文献对原发性小肠肿瘤所致肠套叠的特点、诊断及治疗进行了较全面的讨论，并详述了原发性小肠肿瘤的病理类型以及与肠套叠的关系。
To explore the characteristics of the diagnosis and treatment in the small intestinal intussusception resulted from the primary tumors, we analysed 86 cases in this paper. Of the 39 cases (45.4%) caused by benign tumors which primarily located at jejunum, the most of them were liomyoma, adenoma and lipoma; 47 cases (54.6%) caused by malignat tumors which primarily located at ileum, the most of them were lymphadenoma, adenocarcinoma and liomyosarcoma. Eightyone cases (94.2%) of the intussusception were sequnence, five were countercurrent of the intussusception (5.8%); sixtytwo were single intussusception saw (72.1%), multiple tussusception saw in 24 cases (27.9%). The diagnosis before operation was made only in 38 cases (44.2%). The Seventynine cases (91.9%) were cured by operation. Thirtyseven cases of malignant tumors were followed up, the two and five years survival rates were 81% and 40.5% respectively. The relationship between the intestine intussusception and the pathological types of the tumors of small intestine are discussed in the paper.
出处
《中国普通外科杂志》
CAS
CSCD
1998年第1期7-10,共4页
China Journal of General Surgery
关键词
小肠肿瘤
肠套叠
外科手术
治疗
Small intestine Neoplasms Intussusception Surgery, operative
