论文部分内容阅读
原发性小肠肿瘤发病率很低,早期症状不典型,易被忽略。恶性者就诊时往往已是晚期,预后不佳。现将我们所遇55例资料完整的小肠原发性肿瘤分析如下。临床资料一、一般资料良性瘤19例,恶性瘤36例,良恶性之比为1:1.9。男性33例,女性22例,男女之比为1.5∶1。男性略多女性。年龄分布14～74岁,平均48.7岁。高发年龄在61～70岁(表1)。二、临床症状及体征患者往往有一个或更多的症状及体征。良性瘤(19例)的临床症状有:肉眼及隐性胃肠道出血(6例)、贫血(5例)、腹痛(7例)、恶心及呕吐(5例)、消瘦(3例)、便秘(2例)。临床体征:腹部包块(4例)、肠套叠(3例)、肠梗阻(5例)。在36例恶性瘤中,腹痛(8例)、消瘦及食欲减退(6例)、恶心呕吐(5例)、贫血(4例)、
The incidence of primary small bowel tumors is very low, and early symptoms are not typical and are easily overlooked. The malignancy is often advanced and the prognosis is poor. We have now analyzed the primary tumors of the small intestine that we have encountered in 55 cases. Clinical data I. General information 19 cases of benign tumors, 36 cases of malignant tumors, the ratio of benign and malignant was 1:1.9. There were 33 males and 22 females. The male to female ratio was 1.5:1. Men are slightly more women. Age distribution 14 to 74 years old, average 48.7 years old. High-risk ages range from 61 to 70 years (Table 1). Second, patients with clinical symptoms and signs often have one or more symptoms and signs. The clinical symptoms of benign tumors (19 cases) were: gross and hidden gastrointestinal bleeding (6 cases), anemia (5 cases), abdominal pain (7 cases), nausea and vomiting (5 cases), emaciation (3 cases), Constipation (2 cases). Clinical signs: abdominal mass (4 cases), intussusception (3 cases), intestinal obstruction (5 cases). Among 36 malignant tumors, abdominal pain (8 cases), weight loss and loss of appetite (6 cases), nausea and vomiting (5 cases), anemia (4 cases),