摘要
目的 探讨十二指肠良性肿瘤 (BTD)的诊断和治疗方法。方法 回顾性分析 2 1年间经手术和病理证实的 2 4例BTD患者的临床资料。行肿瘤局部切除术 18例 ,十二指肠节段切除术 4例 ,毕I式胃大部切除术 1例 ,保留幽门的胰十二指肠切除术 1例。结果 BTD临床上多表现为腹痛、上消化道出血和高位肠梗阻。气钡双重造影和十二指肠镜检查对十二指肠良性肿瘤的确诊率分别为 82 .4%和93 .3 %。手术后疗效满意 ,1例于术后 6d死于心肌梗塞。病理检查结果为绒毛状腺瘤 8例 ,间质瘤 6例 ,Brunner腺瘤 5例 ,平滑肌瘤和家族性腺瘤性息肉病十二指肠腺瘤各 2例 ,血管瘤 1例。结论 十二指肠气钡双重造影及十二指肠镜检查是诊断本病的主要方法 ;治疗首选手术切除。
Objective To investigate the diagnosis and treatment of patients with benign tumor of duodenum(BTD). Methods Clinico-pathological data of 24 patients with BTD treated by surgery in our department in recent 21 years were analyzed retrospectively. Among the 24 cases, 18 cases underwent local resection, 4 segmental duodenectomy, 1 subtotal gastrectomy and 1 pylorus-preserving pancreatoduodenectomy. Results Abdominal pain, digestive tract hemorrhage and duodenal obstruction were the common clinical manifestations of BTD. The correct diagnostic rates of air barium double contrast radiography and duodenoscopy were 82.4% and 93.3% respectively. The result of surgical treatment was satisfactory, except 1 patient who died of acute myocardial infarction 6 days after the operation. Of the 24 patients, the pathological examination showed as follows 8 had a villous adenoma, 6 gastrointestinal stromal tumor, 5 Brunner′s gland adenoma, 2 leiomyoma, 2 multiple adenomas in familial adenomatous polyposis, 1 hemangioma. Conclusions Air barium double contrast radiography and duodenoscopy are mainsteps for the diagnosis of BTD. The best treatment is surgical resection.
出处
《中国普通外科杂志》
CAS
CSCD
2003年第11期849-851,共3页
China Journal of General Surgery
关键词
十二指肠肿瘤
诊断
治疗
良性肿瘤
DUODENAL NEOPLASMS/diag
DEODENAL NEOPLASMS/surg
ADENOMA
