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目的 提高对空、回肠原发性肿瘤X线诊断的认识。材料与方法 回顾分析经手术病理证实的 40例空、回肠原发性肿瘤患者的临床和X线资料。结果 空、回肠原发性肿瘤的主要X线表现包括 :( 1)充盈缺损 ;( 2 )肠腔狭窄 ;( 3 )粘膜破坏、管壁僵硬 ;( 4 )龛影 ;( 5 )肠梗阻或肠套叠 ;( 6)肠管移位 ;( 7)肿瘤附近肠管出现激惹征。 40例患者X线诊断与手术病理结果相符者 2 1例 ,诊断正确率为 5 2 .5 %。结论 恰当的X线检查方法可以提高空、回肠原发性肿瘤的术前诊断正确率。
Objective To improve the understanding of X-ray diagnosis of primary tumors of air and ileum. Materials and Methods The clinical and X-ray data of 40 patients with primary tumors of empty ileum confirmed by pathology were retrospectively analyzed. Results The major X-ray manifestations of primary tumors of the jejunum and ileum include: (1) filling defects; (2) intestinal stenosis; (3) mucosal destruction, wall stiffness; (4) cataplex; (5) intestinal obstruction or Intussusception; (6) Intestinal transposition; (7) Inflammatory signs appear in the bowel near the tumor. Twenty-one patients with X-ray diagnosis and surgical pathology were consistent with the diagnosis rate of 52.5%. Conclusion Appropriate X-ray examination can improve the preoperative diagnostic accuracy of primary tumors of the jejunum and ileum.