原发性小肠疾病263例临床分析  

Primary Small Intestinal Disease： Clinical Analysis of 263 Cases

作　　者：陈晓琴[1] 冀子中[1] 金夏[1] 

机构地区：[1]浙江省嘉兴市第一医院,浙江嘉兴314000

出　　处：《中国肛肠病杂志》2012年第5期24-27,共4页Chinese Journal of Coloproctology

摘　　要：为探讨原发性小肠疾病的临床特点及病因构成，提高小肠疾病的诊治水平，回顾性分析263例原发性小肠疾病患者的临床资料。结果显示，263例小肠疾病中，恶性肿瘤110例（41．8％），其中腺癌85例（32．3％）．恶性问质瘤13例（4．9％），淋巴瘤7例（2．6％）；小肠良性肿瘤35例（13．3％），小肠良、恶性肿瘤比35：110（1：3）；憩室58例（22．1％）；炎症性疾病34例（12．9％）；血管性疾病16例（6．1％）；其他10例（3．8％）。263例小肠疾病中，有148例为十二指肠疾病，占所有小肠疾病的56．3％。临床症状以腹痛最多见为135例（51．3％），其次为贫血106例（40．3％），消化道出血85例（32．3％）。本组263例患者中有118例（44．9％）行手术治疗，52例术前经病理证实，术前确诊率为19．8％。结果表明，肿瘤是最常见的小肠疾病，其中以恶性肿瘤为主，小肠疾病缺乏典型的临床表现，小肠气钡造影、内窥镜检查及腹腔动脉造影是诊断小肠疾病的主要手段，整合小肠疾病诊断技术，选择恰当的检查方法是诊断的关键。This study aimed to discuss the cause and clinical features of primary small intestinal disease so as to enhance its diagnostic accuracy. A retrospective study was carried out in 263 cases with primary small intestinal disease. The data showed that of 263 cases, 110 were malignant tumors （41.8%） , among which 85 cases were adenocarcinoma （32.3%） , 13 malignant stromal tumor （4.9%） , 7 lymphoma （2.6%）; 35 cases were benign tumors（13.3%）, the ratio of benign to malignant tumors was 35 ： 110（1：3） ; 58 cases were diverticulum （22.1%） , 34 inflammatory disease （12.9%）,16 vascular disease （6.1%）,10 other dis eases （3.8%）. In the 263 cases, 148 cases were duodenal disease accounting for 56.3%. Abdominal pain was the most common clinical symptom occurring in 135 cases （51.3%） , followed by anemia in 106 cases （40.3%） , gastrointestinal bleeding in 85 cases （32.3%）. In the 263 cases 118（44.9%） underwent surgery, 52 were pathologically confirmed with a preoperative diagnosis rate of 19. 8%. It is concluded that tumor is the most common disease in small intestine, most of which are malignant. Due to lack of typical clinical manifestations, small bowel air-barium double contrast, endoscopy and celiac angiography are the main diagnostic means for small bowel disease. Therefore, integrating diagnostic techniques and selecting the appropriate examination method are the key to the diagnosis of small intestinal disease.

关 键 词：小肠疾病 肿瘤 诊断 

分 类 号：R574.5[医药卫生—消化系统]