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目的 探讨原发性小肠肿瘤的临床特点及其诊断和治疗。方法 1990年以来诊治的 3 9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 3 9例中 ,良性肿瘤 8例 ,恶性肿瘤 3 1例 ;肿瘤位于 12指肠 10例 ,空肠 13例 ,回肠 16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。 3 9例均经手术治疗 ,术前诊断率为 48 7% ( 19/3 9) ,3 1例恶性肿瘤根治性切除率为 2 2 6% ( 7/3 1) ,其中 2 3例获得随访 ,死亡 16例 ,目前存活 7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 investigate the clinical features and diagnosis and treatment of primary small intestinal tumors. Methods The clinical data and follow-up results of 39 cases of primary intestinal tumors diagnosed and treated since 1990 were analyzed retrospectively. Results Among 39 cases, 8 were benign tumors and 31 were malignant tumors. Ten tumors were located in the 12 intestine, 13 in the jejunum and 16 in the ileum. The most common clinical manifestations of abdominal pain, abdominal block, gastrointestinal bleeding, intestinal obstruction, jaundice and so on. All 39 patients were surgically treated, the preoperative diagnosis rate was 48.7% (19/3 9), and the radical resection rate was 22.6% (7/3 1) in 31 malignant tumors. Twenty three of them were followed up , 16 died, 7 patients currently survive. B ultrasound, CT diagnosis of low coincidence, DSA examination helps determine the location and nature of the lesion. Conclusion The clinical manifestations of primary small intestinal tumors are not typical, the early diagnosis of malignant tumors is extremely difficult to improve the prognosis of patients is to strengthen the focus on this disease and awareness.