原发性小肠腺癌36例临床分析  

Clinical Analysis of 36 Patients with Primary Adenocarcinoma of the Small Bowel

作　　者：李小燕[1] 黄缘[2] 李军[2] 

机构地区：[1]南昌大学研究生院医学部 [2]南昌大学第二附属医院消化内科,南昌330006

出　　处：《实用临床医学（江西）》2008年第3期24-25,共2页Practical Clinical Medicine

摘　　要：目的探讨原发性小肠腺癌的诊断和治疗方法。方法回顾性分析36例原发性小肠腺癌的临床资料。结果大多数小肠腺癌原发于十二指肠(24例,占66.7%),临床表现主要为腹痛、黄疸、腹部肿块及黑便。术前明确诊断率为36.1%(13/36),行根治性手术28例(77.8%),姑息性手术8例(22.2%)。结论原发性小肠腺癌临床表现缺乏特异性,内窥镜检查、X线钡餐造影、术中快速冰冻病理检查有助于原发性小肠腺癌的诊断,手术仍然是治疗原发性小肠腺癌的主要手段。Objective To improve the diagnosis rate and the treatment level of the primary intestinal adenocarcinoma. Methods In the current study, the records of 36 patients with small bowel adenocarcinoma（SBA） were retrospectively for clincial presentation, diagnosis and treatment methods. Results Most tumors originated in the duodenum （22 Cases, 66. 7%）, clinical presentation included abdominal pain, abdominal mass, jaundice and melena. The preoperative diagnosis rate was 36.1% （13/36）. The malignant cases underwent curative surgery （28 Cases, 77.8 %）, or palliative surgery（8 Cases, 22.2 %）. Conclusion SBA is lack of specific clinical presentation. Endoscopy, X-ray contrast barium meal, the rapid intraoperative frozen pathological examination would be contributed to the diagnosis of SBA. Surgery is the most effective therapy for SBA.

关 键 词：小肠腺癌 原发性 诊断 治疗 

分 类 号：R735.32[医药卫生—肿瘤]