小肠肿瘤21例临床分析  

Clinical analysis of small bowel tumors

作　　者：姚坦[1] 张巨合[1] 

机构地区：[1]安徽医科大学第一附属医院外一科

出　　处：《临床和实验医学杂志》2006年第12期1912-1913,共2页Journal of Clinical and Experimental Medicine

摘　　要：目的总结原发性小肠肿瘤的诊断及治疗方法。方法回顾性分析21例小肠肿瘤的临床资料。结果21例均经手术和(或)病理检查证实诊断,其中良性肿瘤8例,恶性肿瘤13例。术前诊断符合率52.9%。主要表现为腹痛、腹部包块、肠梗阻及消化道出血等。本组均行手术治疗,无手术死亡。结论小肠肿瘤缺乏特异性体征,术前误诊率高。对有出血、腹痛、梗阻、包块等临床表现者应怀疑本病可能;对诊断不明者应综合采用各种检查,必要时剖腹探查,一经诊断,应及时手术治疗。Objective To summarize the experience in the diagnosis and treatment of primary small bowel tumors. Methods Clinical data of 21 patients with primary small bowel tumors were analyzed retrospectively. Diagnoses were confirmed by operation, pathological examination or both. Results There were 8 benign tumors and 13 malignant ones. Correct preoperative diagnostic was made in 11 patients（52.9 % ）. The primary clinical presentations were abdominal pain, abdominal mass, intestinal obstruction and gastrointestinal hemorrhage. All patients underwent operation and there was no operation death. Conclusion The clinical manifestations of small intestinal tumors are nonspecific and preoperative misdiagnosis rates are high. If the patients present with gastrointestinal hemorrhage, intestinal obstruction and abdominal mass, small intestinal tumors should be suspected and examinations be made accordingly. If necessary, exploratory laparotomy may be considered. Operation should be performed in no time, once the definite diagnosis is made.

关 键 词：小肠肿瘤 诊断 治疗 

分 类 号：R735.32[医药卫生—肿瘤]