原发性小肠肿瘤121例临床分析  

Clinical Analysis on 121 Cases of Primary Small Intestine Tumors

作　　者：屈重行[1] 赵晔[1] 李建生[1] 

机构地区：[1]郑州大学第一附属医院消化内科,河南郑州450052

出　　处：《肿瘤基础与临床》2012年第2期147-149,共3页journal of basic and clinical oncology

摘　　要：目的加强对原发性小肠肿瘤临床表现、诊断技术及病理类型的认识。方法回顾性分析121例原发性小肠肿瘤患者的临床资料。结果 121例患者主要临床表现依次为腹痛、贫血、消化道出血、黄疸、消瘦、呕吐、腹部包块、发热。原发部位为十二指肠者74例(61.2%)、空肠28例(23.1%)、回肠19例(15.7%)。确诊方法包括ERCP和外科手术。121例患者中,恶性肿瘤占85.1%(103/121),以腺癌、恶性间质瘤常见;良性肿瘤占13.2%(16/121),腺瘤常见;交界性间质瘤占1.7%(2/121)。结论原发性小肠肿瘤最常见临床表现为腹痛、贫血,且大部分为恶性肿瘤,ERCP和外科手术可以确诊;加强对其认识有望提高早期诊断率。Objective To strengthen the understanding of the clinical manifestation, diagnosis technology and pathological type of primary small intestinal tumor. Methods The clinical data of 121 cases of primary small intes- tinal tumors were analyzed retrospectively. Results The major clinical manifestations of the 121 cases of primary small intestinal tumors were abdominal pain, anemia, gastrointestinal bleeding, jaundice, tabes, vomiting, abdominal lump and fever. The primary sites of small intestinal tumor were maldistribution,61.2% （74/121） were located in duodenal,23.1% （28/121） were located in jejunum and 15.7% （ 19/121 ） were located in ileum. The definitely diagnosing methods were ERCP and surgery. 85.1% （103/121） were malignant tumors,and gland cancer and ma- lignant stromal tumor were common; 13.2% （16/121） were benign tumors, and adenoma was common; 1.7% （2/121） were borderline mesenchymoma. Conclusion Primary small intestinal tumors are mostly malignant tumors. The most commonly clinical manifestations are abdominal pain and anemia. ERCP and surgery can help to clearly diagnose them. It is expected to improve its early diagnosis rate by enhancing the understanding of primary small intestinal tumor.

关 键 词：原发性小肠肿瘤 临床表现 诊断 病理类型 

分 类 号：R735.32[医药卫生—肿瘤]