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目的 提高原发性小肠肿瘤的诊治水平及疗效。方法 回顾性分析1983年3月～2000年5月我院收治经手术病理证实的原发性小肠肿瘤37例及随访资料。24例恶性肿瘤12例行根治性切除,6例行姑息性切除,4例行转流术,2例行单纯剖腹探查术;13例良性肿瘤5例行肿瘤局部切除,8例行肿瘤肠段切除。随访经X线消化道气钡双重造影或十二指肠内窥镜复查32例。结果 生存时间根治性切除为14～71个月;姑息性切除14～17个月;转流术6～13个月;单纯探查2～5个月。良性肿瘤切除5～17年均健在。结论 仔细询问病史,X线气钡双重造影及十二指肠内窥镜是诊断该病的主要方法,与B超、CT或选择性血管造影等检查相结合,可提高术前诊断率。手术切除是最有效的治疗方法。
Objective To improve the diagnosis and treatment of primary small intestinal tumors and efficacy. Methods A retrospective analysis of our hospital from March 1983 to May 2000 admitted to our hospital with pathologically confirmed primary intestinal tumor in 37 cases and follow-up data. 24 cases of malignant tumors were treated by radical resection in 12 cases, 6 cases were treated by palliative resection, 4 cases were treated by bypass operation, 2 cases were treated by simple laparotomy. In 13 cases of benign tumors, 5 cases were locally resected and 8 cases were treated by tumor resection resection. Follow-up by X-ray gastrointestinal barium double angiography or duodenal endoscopy in 32 cases. Results The survival time of radical resection for 14 to 71 months; palliative resection of 14 to 17 months; 6 to 13 months of commutation; simple exploration of 2 to 5 months. Benign tumor resection 5 to 17 years are alive. Conclusions Careful medical history, double X-ray barium and endoscopy are the main methods to diagnose the disease. Combined with ultrasonography, CT or selective angiography, the preoperative diagnosis rate can be improved. Surgical resection is the most effective treatment.