【摘要】 目的探讨原发性小肠肿瘤的临床特点及其诊断与治疗。方法对1985年以来诊治的31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31例中,良性肿瘤8例,恶性肿瘤23例;肿瘤位于十二指肠者2例,空肠13例,回肠16例。最常见的临床表现为腹痛、腹部包块、消化道出血、肠梗阻、肠穿孔等。31例均经手术治疗,术前诊断率为51.6%(16/31)。23例恶性肿瘤根治性切除率为30.4%(7/23),其中15例获随访,死亡10例,平均存活期(32±17.1)个月,存活5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,当明确诊断时多数恶性肿瘤已经有转移,改善病人预后的关键是加强对本病的认识。更多还原

【Abstract】 Objective To explore the clinical characteristics of primary small intestinal tumors. Methods A retrospective analysis was made on the clinical data and follow-up of 31cases of primary small intestinal tumor treated from 1985. Results In this group,8 cases were benign tumors while the other 23 cases were malignant. Tumors located at duodenum, jejunum and ileum were found in 2 cases, 13cases and 16 cases respectively. The most common clinical situation was stomachache, abdomen mass, gastrointestinal hemorrhage, intestinal obstruction, and intestinal perforation, etc. All the 31cases underwent operation, the preoperative diagnostic rate was 51.61%(16/31).In the 23 patients of malignant tumors, the radical resection rate was 30.4%(7/23),15 cases were followed up, of which 10 cases died, the mean survival time was 32±17.1 months, while the other 5 cases survived. The accurate diagnostic rate of B-ultrasound?CT scanning was lower, while Digial Subtract Angiography was helpful to make sure the portion and quality of the lesion. Conclusion The clinical situation of primary small intestinal tumor is untypical and early diagnosis for malignancy is quite difficult, so intensive study and recognization of this lesion should be emphasized to improve the prognosis of these patients.更多还原