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为了提高临床小肠平滑肌肉瘤的诊断水平,回顾分析我院自1995年7月～2000年10月间收治的3例小肠平滑肌肉瘤的病例,由于缺乏特异性的诊断,致使1例误诊为上消化道出血,1例误诊为直肠肿瘤,1例误诊为急性化脓性阑尾炎伴穿孔。3例患者均剖腹探查,病理诊断为小肠平滑肌肉瘤。经过住院治疗,均痊愈出院。随诊正常生活。结合病史,重视对腹部肿块的触诊,除常规检查外,必要时行小肠低张造影、选择性血管造影和核素扫描检查,减少误诊率。
In order to improve the diagnostic level of clinical small intestinal leiomyosarcoma, retrospective analysis of our hospital from July 1995 to October 2000 treated 3 cases of small bowel leiomyosarcoma cases, due to the lack of specific diagnosis, resulting in 1 case misdiagnosed as upper gastrointestinal Bleeding, 1 case misdiagnosed as rectal cancer, 1 case misdiagnosed as acute suppurative appendicitis with perforation. All three patients underwent exploratory laparotomy and the pathology was diagnosed as small intestine leiomyosarcoma. After hospitalization, were discharged. Follow normal life. Combined with medical history, emphasis on the palpation of abdominal mass, in addition to routine examination, if necessary, underwent intestinal low contrast angiography, selective angiography and radionuclide scan to reduce the misdiagnosis rate.