小肠良性肿瘤的临床与X线表现  

The clinical and X-ray features of benign small intestinal tumors

作　　者：王怀娥[1] 张宗欣[1] 韩广秀[1] 

机构地区：[1]山东省医学影像学研究所,山东济南250021

出　　处：《医学影像学杂志》2008年第6期619-621,共3页Journal of Medical Imaging

摘　　要：目的:探讨小肠良性肿瘤的临床X线特点,提高对小肠肿瘤的认识及诊断水平。方法:对经气钡双对比小肠造影发现并经内镜或手术病理证实的小肠良性肿瘤30例进行回顾性分析。结果:良性小肠肿瘤临床症状不典型,本组无症状者5例,有轻重程度不同的腹痛,腹不适,大便潜血等25例。病变发生于十二指肠20例,空肠7例,回肠2例,12指肠-空肠段1例。29例为单发,多发1例。病理上腺瘤5例,平滑肌瘤11例,绒毛膜管腺瘤4例,脂肪瘤2例,息肉8例。小肠肿瘤向肠腔内呈结节状生长,直径大小0.5～5cm,表现为类圆形或半圆形充盈缺埙,边界光整,粘膜无破坏,不侵犯周围组织,对肠管的生理活动无明显影响,肿瘤带蒂者9例,表面出现小溃疡8例。结论:口服气钡双对比小肠造影是小肠肿瘤诊断和定位的最简单、有效的手段之一,对临床治疗的选择及手术定位能提供最佳帮助。Objective：To explore the clinical characteristics of benign small intestinal tumors to advance the awareness and diagnosis on it.Methods：The radiologic signs of intestinal air-barium double contrast radiograph in 30 benign intestinal tumors proved by pathology and surgery were analysed. Results：In 30 cases, 25 cases suffered bloody stool, diarrhea or bellyache in the latest 5 years. In 30 cases, 5 adenomas, 11 leiomyomas, 4 chrio-adenomas, 2 lipomas, 8 polyp. 20 cases were in the duodenum, 7 cases were in the ileum, 3cases were in the jejunum. X-my findings of benign intetinal tumor included： nodular or circular filling defect with smooth surface,no mucosa injury. The intestinal wall was soft and had normal peristalsis wave. In 8 cases among 9 tumors with peduncle, there were ulcer in the tumors surface. Conclusion：Intestlnal air-barium double contrast radiograph by oral medication is one of the most convenient and effective methods to diagnose and locate the small intestinal tumors, which can support clinical treatment greatly.

关 键 词：小肠肿瘤 小肠气钡双对比造影 口服法 

分 类 号：R735.3[医药卫生—肿瘤] R814.43[医药卫生—临床医学]