原发性小肠肿瘤临床症状与病理类型相关性分析  

Correlation between clinical symptoms and pathological types in 197 cases of primary small intestinal tumors

作　　者：郜永顺[1] 樊晓金 黄晶晶 张云飞[1] 陈鹏[1] 闫西忠 孙建刚[1] 王依明 Yong-Shun Gao;Xiao-Jin Fan;Jing-Jing Huang;Yun-Fei Zhang;Peng Chen;Xi-Zhong Yan;Jian-Gang Sun;Yi-Ming Wang(Department of Gastrointestinal Surgery,Zheng Dong Hospital,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 45000,He＇nan Province,China;Department of General Surgery,The First Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 45000,He＇nan Province,China)

机构地区：[1]郑州大学第一附属医院郑东院区胃肠外科,河南省郑州市450000 [2]河南省中医药大学第一附属医院普外科,河南省郑州市450000

出　　处：《世界华人消化杂志》2018年第20期1253-1258,共6页World Chinese Journal of Digestology

摘　　要：目的提高原发性小肠肿瘤病理类型的初步及术前诊断率.方法回顾性分析郑州大学第一附属医院2011-08/2017-02所有经手术治疗及病理证实的197例原发性小肠肿瘤的临床症状与病理类型特征.结果原发性小肠肿瘤不同的病理类型最常见临床症状不同.腹部包块是高危险度间质瘤患者(38/63)最常见症状,消化道出血是低中危险度间质瘤患者(35/60)最常见症状,腹痛是恶性淋巴瘤(25/32)、息肉(6/6)患者最常见症状,腹胀(3/5)是腺癌患者最常见症状.原发性小肠肿瘤初步确诊率为11.2%(22/197),其中90.91%(20/22)的患者为CT检查所明确.结论原发性小肠肿瘤不同病理类型最常见症状不同,结合不同病理类型肿瘤影像学表现特点,合理选择检查方式,可提高肿瘤病理类型初步及术前诊断率,合理选择治疗方案,提高患者生存率.AIM To improve the primary and preoperative diagnosis of different pathological types of primary small intestinal tumors.METHODS The clinical and pathological data of 197 cases of primary intestinal tumors confirmed by surgery and pathology were retrospectively analyzed at the First Affiliated Hospital of Zhengzhou University from August 2011 to February 2017. RESULTS The most common clinical symptoms of different types of primary small bowel tumors were different. Abdominal mass was the most common symptom of high risk stromal tumors（38/63）. Gastrointestinal bleeding was the most common symptom of low/middle risk stromal tumors（35/60）. Abdominal pain was the most common symptom of malignant lymphomas（25/32） and polyps（6/6）, and abdominal distension（3/5） was the most common symptom of adenocarcinoma patients. The primary diagnosis rate of primary small bowel tumors was 11.2%（22/197）, of which 90.91%（20/22） were confirmed by CT examination. CONCLUSION The most common symptoms of different pathological types of primary small intestine tumor are different. Combining the imaging features of different pathological types of tumor and selecting the way of examination reasonably can improve the primary and preoperative diagnosis of tumor pathology, help choose the treatmentplan reasonably, and improve the survival of the patients.

关 键 词：小肠 肿瘤 病理 诊断 

分 类 号：R735.32[医药卫生—肿瘤]