小肠增生性病变的临床诊断与病理  

Clinical and Pathological Feature of Small Intestinal Hyperplastic Lesion

作　　者：宋吉波[1] 柳东青[1] 张宝玉[1] 

机构地区：[1]解放军第148医院内一科,山东淄博255300

出　　处：《临床军医杂志》2001年第2期42-43,共2页Clinical Journal of Medical Officers

摘　　要：目的　探讨小肠增生性病变的临床和病理特点。方法　对我院收治的 48例小肠增生性病变的临床资料和病理资料进行回顾性分析。结果　 48例病人中小肠恶性肿瘤 31例 ,良性肿瘤 8例 ,炎性肿块 7例 ,异位胰腺 2例。表现为出血13例 ,穿孔 3例 ,梗阻 8例 ,肿块 12例。共 40例行手术治疗 ,其中 38例将病灶完整切除。结论　小肠增生性病变以肿瘤多见 ,恶性肿瘤尤甚。腺癌以十二指肠多见平滑肌肉瘤和恶性淋巴瘤以回肠多见。良性肿瘤以十二指肠、空肠多见。恶性肿瘤常表现为出血和穿孔 ,而良性病变常为肿块。平滑肌瘤则易出血。Objective To approach clinical and pathological featuere in patients with small intestinal hyperplastic lesion. Method The material of 48 cases with small intestinal hyperplastic lesion was retrospectively analysed. Result 48 cases included 31 cases of malignant tumor, 8 cases of benignant tumor, 3 cases of inflammatory mass, 2 cases of aberrant pancreas. Clinical manifestation was 13 cases with bleeding, 3 cases with perforation, 8 cases with obstruction, 12 cases with abdominal mass 40 cases received operation, 35 cases removed the mass totally. Conclusion The majority of small intestinal hyperplastic lesion was tumor, and malignant tumor more often. Abenocarcinoma was often seen in duodenum, malignant lymphoma and leiomyosarcoma were often seen in ileum, benignant tumor was often seen in duodenum and jejunum, malignant lesion often showed bleeding and perforation, belignant lesion often showed mass and obstruction, but leiomyoma often showed bleeding.

关 键 词：小肠病变 临床分析 病理检查 诊断 

分 类 号：R574.5[医药卫生—消化系统]