原发性小肠肿瘤86例临床分析  

Clinical analysis of patients with primary intestinal tumours:a report of 86 cases

作　　者：曾连山[1] 莫艾[1] 林木生[1] 

机构地区：[1]广东医学院附属医院普外科,湛江524001

出　　处：《中国基层医药》2004年第7期830-831,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的　探讨原发性小肠肿瘤 (PIT)的外科诊治经验 ,以提高对PIT的诊治水平。方法　回顾性分析 1988～ 2 0 0 3年收治的 86例PIT的临床资料。结果　 86例中 ,良性肿瘤占 2 0 9% ( 18/ 86 ) ,恶性肿瘤占79 1% ( 6 8/ 86 )。恶性肿瘤以腺癌多见 ,占 4 1 2 % ( 2 8/ 6 8)。X线检查是主要诊断手段 ,B超、CT、内镜、肠系膜血管造影也有助于诊断。全组均行手术治疗 ,其中急诊手术率为 34 9% ( 30 / 86 )。本组无手术死亡。恶性肿瘤 1、3、5年生存率分别为 73 5 %、4 9 0 %、2 4 5 %。结论　PIT术前诊断困难 ,误诊率与急诊手术率高。一经诊断 。Objective To explore the diagnosis and surgical treatment of primary intestinal tumors(PIT),to improve the diagnosis and treatment.Methods Retrospective analysis was made on the clinical data of 86 patients with PITs admitted to our hospital from 1988 to 2003.Results Out of the 86 cases,20.9%(18/86) had benign tumors,while the remaining 79.1%(68/86) were malignancies.Adenocarcinoma was the most common type of malignancy(41.2%,28/68).The main diagnostic methods were X ray,B ultrasonic,CT,endoscopy and superior mesenteric arteriograplty.Of the 86 cases underwent operation,30 underwent emergent operation(34.9%,30/86).In this series,there was no operative death.The 1,3,5 year survial rates of malignance were 73.5%,49.0%,24.5%,respectively.Conclusion PIT is not easily diagnosed before operation,and the misdiagnosis rate and emergent operation rate are high.Once the diagnosis of PIT is made,the best choice of treatment is operation.

关 键 词：原发性小肠肿瘤 临床表现 并发症 局部肠段切除术 

分 类 号：R735.3[医药卫生—肿瘤]