原发性小肠肿瘤87例临床分析  

作　　者：付斌[1] 赵宏[2] 

机构地区：[1]浙江省嘉兴市第二医院,314000 [2]苏州大学附属第一医院,215006

出　　处：《浙江临床医学》2006年第11期1146-1147,共2页Zhejiang Clinical Medical Journal

摘　　要：目的 探讨原发性小肠肿瘤的诊断与治疗。方法 回顾性分析1993年6月至2004年7月诊治的87例原发性小肠肿瘤的资料。结果 原发性小肠肿瘤发病男女之比1．8：1，50～60岁为发病高峰，良、恶性肿瘤之比1：4．8。主要临床表现为腹痛、消化道出血、贫血、恶心、呕吐。30例十二指肠肿瘤中，20例（66．7％）术前确定病变部位；57例空回肠肿瘤中，17例（29．8％）术前确定病变部位。十二指肠肿瘤手术切除率76．7％（23／30），空回肠肿瘤手术切除率98．2％（56／57）。结论 小肠肿瘤术前确诊率仍较低，新的诊断方法尚未成为常规，手术切除是小肠肿瘤的最有效治疗。Objective To investigate the diagnosis and treatment of primary small intestinal turnout. Methods A resuospeetive analysis was made to the data of eighty - seven of primary small intestinal neoplasm from 1993 to 2004 in the author＇s hospital. Results The ratio of the primary intestinal neoplasm between male and female was 1.8：1 ,the climax age was between 50 and 60,the ratio between benign and malignant was 1：4.8.the most common clinical presentations were abdominal pain, bleeding, anemia, nausea and vomiting. In 20 cases （66.7 % ） out of 30 cased diagnosed as duodenum tumor ,neoplasms localization were preoperationly definite; in 17 cases （29.8%） out of 57 jejunoileac tumor, neoplasms localization were preoperafionly definite . The surgical resection rate of the duodenal neoplasms was 76.7 % （23/30）, while for jejunoileac neoplasm was 98.2% （56/57）. Conclusion The preoperative definite disgnasis of the small instestinal neoplasm is very low and the new diagnostic examinations are not yet routinely performed, surgical resection is the most effective treatment.

关 键 词：肿瘤 小肠 诊断 治疗 

分 类 号：R735.3[医药卫生—肿瘤]