摘要
目的 探讨原发性小肠肿瘤的临床特点及其诊断。方法 对 1991年以来诊治的 4 3例原发性小肠肿瘤的临床资料及随访结果进行回顾性分析。结果 4 3例中 ,良性肿瘤 11例 ,恶性肿瘤 32例 ;肿瘤位于十二指肠者 18例 ,空肠 14例 ,回肠 11例。最常见的临床表现为腹痛、腹块、消化道出血、肠梗阻、黄疸等。 4 3例均经手术治疗 ,术前诊断率为 5 5 80 % (2 4 /43) ,32例恶性肿瘤根治性切除率为 37 5 % (12 /32 ) ,其中 2 3例获随访 ,死亡 14例 ,平均存活期 (34± 18)个月 ,存活 9例。B超、CT诊断符合率较低 ,DSA检查有助于确定病变的部位及性质。结论 原发性小肠肿瘤临床表现不典型、恶性肿瘤早期诊断极为困难 ,改善病人预后的关键是加强对本病的重视和认识。
Objective\ To explore the clinical characteristics and diagnosis of primary small intestinal tumors.Methods\ A retrospective analysis was made on the clinical data and follow-up of 43 cases of primary small intestinal tumor treated from 1991 Results\ In this group,11 cases were benign tumors while the other 32 cases were malignant.Tumors located at duodenum,jejunum and ileum were found in 18 cases,14 cases and 11 cases respectively.The most common clinical presentations were stomach ache,abdomen mass,gastrointestinal hemorrhage and jaundice,etc.All the 43 cases underwent operation,the preoperative diagnostic rate was 55 8%(24/43).In the 32 patients of malignant tumors,the radical resection rate was 37 5(12/32),23 cases were followed up,of which 14 cases died,the mean survival time was 34±18 months,while the other 9 cases survived.The accurate diagnostic rate of B-ultrasound?CT scanning was lower,while Digital Subtract Angiography was helpful to make sure the portion and quality of the lesion.Conclusion\ The clinical presentation of primary small intestinal tumor is untypical and early diagnosis for malignancy is quite difficult,so intensive study and recognization of this lesion should be emphasized to improve the prognosis of these patients.
出处
《中国实用外科杂志》
CSCD
北大核心
2002年第6期356-358,共3页
Chinese Journal of Practical Surgery
