摘要
目的探讨出血型小肠平滑肌肿瘤的临床特点及其诊断。方法回顾性病例分析。结果出血型小肠平滑肌肿瘤具有下列临床表现:(1)反复间隙性消化道出血。(2)大多数(879%)病人的年龄在40岁以上。(3)位于空肠部位的肿瘤约为回肠的3倍。(4)消化道出血出现的时间和出血量与肿瘤的大小、性质无关。(5)术前病程一般较长。结论出血型小肠平滑肌肿瘤是下消化道出血最常见的病因之一。低张小肠灌钡。
Objective\ To investigate the clinical characteristics of smooth muslce tumors of the small intestine(hemorrhagic type)and its diagnosis.Methods\ Retrospective analysis of cases.Results\ Smooth muscle tumors of the small intestine(hemorrhagic type)have the following clinical presentations:(1)Repeated intermittent digestive tract bleeding.(2)The majority(87 9%)of patients are more than 40 years old.(3)Tumors located in jejunum are about 3 times those in ileum.(4)Occurrence of gastrointestinal bleeding and its quantity have not relation to nature and size of tumors.(5)Course of diseas persists a longer period before operation.Conclusion\ Smooth muscle tumors of the small intestine(hemorrhagic type)are one of the most common etiologic factors induced lower digestive tract bleeding.Hypotonic small bowel examination,CT and selective supermesenteric angiography have an important role to discovery directely tumor's signs.
出处
《中国实用外科杂志》
CSCD
北大核心
1999年第2期87-88,共2页
Chinese Journal of Practical Surgery
关键词
平滑肌肿瘤
小肠肿瘤
下消化道出血
Smooth muscle tumor\ gastrointestinal hemprrhage\ Small intestine