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目的 探讨原发性小肠肿瘤的临床特点及其诊断。方法 对 1991年以来诊治的 4 3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 4 3例中 ,良性肿瘤 11例 ,恶性肿瘤 32例 ;肿瘤位于十二指肠者 18例 ,空肠 14例 ,回肠 11例。最常见的临床表现为腹痛、腹块、消化道出血、肠梗阻、黄疸等。 4 3例均经手术治疗 ,术前诊断率为 5 5 80 % (2 4 /43) ,32例恶性肿瘤根治性切除率为 37 5 % (12 /32 ) ,其中 2 3例获随访 ,死亡 14例 ,平均存活期 (34± 18)个月 ,存活 9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 ,改善病人预后的关键是加强对本病的重视和认识。
Objective To explore the clinical features and diagnosis of primary small bowel tumors. Methods The clinical data and follow-up results of 43 primary intestinal tumors diagnosed and treated since 1991 were analyzed retrospectively. Results Of 43 cases, 11 were benign tumors and 32 were malignant tumors. 18 tumors were located in the duodenum, 14 in the jejunum, and 11 in the ileum. The most common clinical manifestations of abdominal pain, abdominal mass, gastrointestinal bleeding, intestinal obstruction, jaundice and so on. All 43 cases were treated with surgery. The preoperative diagnosis rate was 5 588% (24/43). The 32 cases had a radical resection rate of 37.5% (12/32). Of these, 23 cases were followed up and died. In 14 patients, the average survival time was (34 ± 18) months and 9 patients survived. The diagnostic accuracy of B-mode ultrasonography and CT is relatively low. DSA examination can help determine the location and nature of the lesion. Conclusion The primary clinical manifestations of primary small bowel tumors are not typical, and the early diagnosis of malignant tumors is extremely difficult. The key to improving the prognosis of patients is to strengthen the importance and understanding of this disease.