摘要
目的 探讨原发性阑尾肿瘤的临床特点和外科治疗。方法 回顾性分析我院 1979～ 1999年 13例原发性阑尾肿瘤的临床资料。〗HTH〗结果 阑尾粘液性肿瘤 4例 ,类癌 5例 ,腺癌 3例 ,平滑肌肉瘤 1例。术前无 1例获得正确诊断。本组 13例均行手术治疗 ,根据术中冰冻病理结果 ,类癌肿块直径 >1cm者行右半结肠切除术 ,腺癌者行右半结肠切除加区域淋巴结清扫术 ,余 5例仅行阑尾切除术 ,获得良好疗效。结论 阑尾肿瘤缺乏特异表现 ,误诊率极高。钡灌肠及B超有助于诊断 ,强调术中冰冻切片的重要性 ,手术为主要的治疗方法 。
Objective To study the clinical characteristics and treatment of primary appendicular tumor. Methods The clinical data of 13 patients with primary appendicular tumor treated in our hospital from 1979 to 1999 were retrospectively analyzed. Results The primary appendicular tumors included 4 cases of mucinous tumor, 5 cases of carcinoid, 3 cases of adenocarcinoma and 1 case of leiomyosarcoma. None was diagnosed correctly before operation. All 13 cases were treated by operation. Right hemicolectomy was performed in carcinoid, diameter of which was longer than 1cm, right hemicolectomy and regional lymphadenectomy were performed in adenocarcinoma, and the other five cases were only received appendectomy. The patients were in good general condition after operation. Conclusions Primary appendicular tumor lacked particular symptoms, and the rate of misdiagnosis was extremely high. Barium radiography and ultrasonography were helpful for diagnosis. Intraoperative frozen section detection was very important for diagnosis. Operation is a principle therapy, and suitable operation plan may be key factor for improving the prognosis of the patients with appendicular tumor.
出处
《中国医师杂志》
CAS
2004年第1期72-73,共2页
Journal of Chinese Physician
