原发性小肠肿瘤手术44例临床诊治及分析  

Clinical diagnosis analysis of 44 patients of primary internal tumor

作　　者：许增伟[1] 徐珂[1] 职梅[1] 

机构地区：[1]河南省新乡市中心医院普瘤外科,新乡453000

出　　处：《临床医学》2009年第7期29-30,共2页Clinical Medicine

摘　　要：目的探讨原发性小肠肿瘤的类型、临床特点及诊断,分析小肠肿瘤误诊误治原因,提出防范措施。方法回顾性分析44例原发性小肠肿瘤的临床资料和病理资料。结果小肠良性肿瘤10例,其中平滑肌瘤3例,占30%。小肠恶性肿瘤34例,其中间质细胞肉瘤14例,占41.2%,其次为腺癌12例,占35.3%。胃十二指肠镜检查17例,其中9例阳性,CT检查25例,其中19例阳性。结论应综合利用纤维胃十二指肠镜,CT、X线钡餐检查、选择性动脉造影和逆行胰胆管造影(ERCP)等检查手段,以提高小肠肿瘤的诊断率,减低误诊率。Objective To explore the types, clinical features and diagnosis of primary intestinal tumor. To analyse the misdiagnosis reasons of intestinal tumor and to propose the preventive measures. Methods Analysed the clinical and pathological information of 44 cases of primary intestinal tumor retrospectively. Results There were 10 cases of intestinal benign tumor, of which three were leiomyoma, accounting for 30 percent. There were 34 cases of intestinal cancer, of which 14 cases were stromal cell sarcoma, accounting for 41.2 percent, followed by 12 cases of adencarcinoma, accounting for 35.3 percent. There were 17 cases exaimned by fiber gastroduodenal mirror, of which nine were positive, 25 cases examined by CT, of which 19 were positive. Conclusion To improve the diagnosis rate of intestinal tumor and reduce the rate of misdiagnosis by the comprehensive utilization of fiber gastroduodenal mirror, CT, X - barium examination, selective angiography, retrograde cholangiopancreatography （ERCP） and other means of inspection.

关 键 词：小肠肿瘤 误诊 诊断 

分 类 号：R735.32[医药卫生—肿瘤] R155.3[医药卫生—临床医学]