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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
Objective To investigate the clinical manifestations and diagnosis of small bowel tumors. Methods The clinical data of 12 1 small intestine tumors in our hospital since 1980 were retrospectively reviewed. Results Among 121 cases, 81 were malignant tumors and 40 benign tumors. The most common clinical manifestations of abdominal pain, abdominal mass, gastrointestinal bleeding, acute intestinal obstruction, stool changes, jaundice and so on. 12 1 cases were confirmed by surgery. The tumor was located in the duodenum in 11 cases, jejunum in 63 cases, and ileum in 47 cases, with a preoperative diagnosis rate of 62% (75/121). Malignant tumors in 81 cases, radical resection rate was 44.4% (36/81), of which 71 were followed up, 38 patients have died, the average survival (36 ± 18) months. Conclusions The diagnostic accuracy of B-mode ultrasonography, CT, and total digestive tract barium meal is low. Removable abdominal mass is found in the abdominal examination of the knee and thorax. It is an important means to detect intestinal tumor. The clinical manifestations of small bowel tumor is extremely typical, early diagnosis is extremely difficult, doctors pay more attention to the disease and awareness is the key to improving the prognosis of patients