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目的探讨原发性十二指肠肿瘤的诊断和选择适当的手术方法。方法对２２例原发性十二指肠肿瘤的临床资料进行分析。结果十二指肠气钡造影１３例，１０例（７６９％）诊断肿瘤；十二指肠镜检查１４例，发现肿瘤１３例（９３％）。肿瘤位于十二指肠降部者１１例，占５０％。良性肿瘤８例，恶性肿瘤１４例。恶性肿瘤中行胰十二指肠切除６例，有２例生存已达６年。良性肿瘤７例行肿瘤及局部肠管切除，已有２例生存１２年。结论内窥镜及气钡双重造影检查是诊断本病的主要方法，手术是其重要的治疗手段。
Objective To investigate the diagnosis of primary duodenal tumors and select appropriate surgical methods. Methods The clinical data of 22 primary duodenal tumors were analyzed. Results Duodenal gas angiography was performed in 13 cases, 10 cases (76.9%) diagnosed tumors, 14 cases were examined by duodenoscopy, and 13 cases (93%) were found. Tumor located in the descending part of the duodenum was 11 cases, accounting for 50%. There were 8 benign tumors and 14 malignant tumors. Six cases of pancreaticoduodenectomy were performed in malignant tumors, and 2 cases survived for 6 years. 7 cases of benign tumors were treated with tumor and local bowel resection, and 2 cases had survived for 12 years. Conclusion The double contrast examination of endoscopy and pneumatic examination is the main method for diagnosing the disease. Surgery is an important treatment method.