小肠肿瘤性出血的早期诊疗研究  

Study of early diagnosis and treatment of bleeding tumors of small intestine

作　　者：郑彦[1] 

机构地区：[1]北京大学深圳医院,深圳518036

出　　处：《安徽医学》2004年第3期219-220,共2页Anhui Medical Journal

摘　　要：目的　探讨小肠肿瘤性出血的早期诊疗。方法　对 2 7例手术、病理证实的小肠肿瘤性出血患者的临床表现 ,诊断手段和治疗进行分析。采用胃镜 ,结肠镜 ,小肠气钡 ,动脉造影术和核素显像等定位检查。结果　良性肿瘤18例 ( 66.6%) ,恶性肿瘤 9例 ( 3 3 .3 %)。良性肿瘤以腺瘤、平滑肌瘤为多 ( 15例 ,5 5 .5 %)。恶性肿瘤预后差 ,术后生存期 3个月～ 1年。多发性病变和微小病变与肿瘤并存分别为 3例和 2例。结论　急诊胃镜———结肠镜———血管造影术序贯定位检查对早期诊断十分重要 ,尤其是动脉造影术对定位诊断具有重要价值。剖腹探查术应尽早施行 。Objective To investigate the early diagnosis and treatment of bleeding tumors of samll intestine. Methods To analyze the clinical manifestations, diagnostic methods and treatments for 27 patients with bleeding tumors of small intestime which were confirmed by surgery and pathology. The patients were diagnosed by gastroscopy, colonoscopy, barium studies, angiography, radionucleotide scanning, etc.Results Benign tumors were found in 18 cases (66.6%), among them adenoma and leiomyoma were most common (n=15,55.5%); Malignant tumors were seen in 9 cases (33.3%), which prognosis was very poor, the survival period was less than one year after operation. Concomitant of multiple and lesser lesions in small intestine besides tumors were in 3 cases and 2 cases respectively. Conclusion Sequent examinations of emergency gastroscopy——colonoscopy——angiography were the most importance to make early diagnostic procedures, especialy the later have the highest value in localization of bleeding sites. Exploratory laparotomy should be performed as early as possible, whereas intraoperative endoscopy was very helpful to search for minisize neoplasms.

关 键 词：小肠肿瘤 胃肠道出血 治疗 诊断 

分 类 号：R735.3[医药卫生—肿瘤]