【摘要】 目的　探讨小肠肿瘤的临床表现及诊断方法。方法　对 1980年以来我院 12 1例小肠肿瘤的临床资料进行回顾性探讨。结果　 12 1例中 ,恶性肿瘤 81例 ,良性肿瘤 4 0例。最常见的临床表现为腹痛、腹块、消化道出血、急性肠梗阻、大便性状改变、黄疸等。 12 1例均经手术证实。肿瘤位于十二指肠 11例 ,空肠 6 3例 ,回肠 4 7例 ,术前诊断符合率 6 2 % (75 / 12 1)。恶性肿瘤 81例 ,根治切除率为 4 4 .4 % (36 / 81) ,其中 71例获随访 ,已死亡 38例 ,平均存活 (36± 18)个月。结论　B型超声、CT、全消化道钡餐诊断符合率低 ,病人膝胸位腹部查体发现可移动性腹块是发现小肠肿瘤的一种重要手段。小肠肿瘤临床表现极不典型 ,早期诊断极其困难 ,医生加强对本病的重视和认识是改善病人预后的关键更多还原

【Abstract】 Objective To explore the clinical manifestations and diagnosis of small intestinal tumors.Methods A retrospective analysis was made on the clinical data of 121 cases of small intestinal tumor since 1980. In this group, 81 cases were malignant tumors, while 40 cases were benign onex. The most common clinical manifestations were stomach ach, abdomen mass, gastrointestinal hemorrhage, jaundice and the change of character of stool, etc. All the 121 cases underwent operation. In this group, tumors located at duodenum, jejunum and ileum were found in 11 cases, 63 cases and 47 cases respectively. The preoperative diagnostic rate was 62 %(75/121). In the 81 cases of malignant tumors, the radical resection rate was 44.4 % (36/80). Of the 71 cases receiving follow up, 38 cases died. The mean survival time was (36±18) months. The accurate diagnostic rate of B ultrasound, CT scanning and the barium meal of total alimentary canal was lower. The presence of moveable abdominal mass when patients lie in knee chest postion was an important way in finding the small intestinal tumor. Conclusion The clinical manifestations of small intestinal tumor is atypical and early diagnosis is quite difficult.更多还原