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目的:探讨原发性小肠肿瘤的临床特征、诊断及治疗。方法:回顾性分析16年间收治的经病理证实的原发性小肠肿瘤32例的临床资料。结果:小肠肿瘤的临床表现以腹痛(27/32)、黄疸(3/32)、便血(9/32)、腹胀(8/32)、腹部压痛、包块(13/32)、肠梗阻(2/32)、体重减轻、消瘦(19/32)为多见。其中良性小肠肿瘤8例,恶性小肠肿瘤24例,腺癌占多数(16例)。结论:小肠肿瘤的临床表现缺乏特异性,需运用各种不同的辅助检查综合提高术前诊断的准确率,治疗以手术治疗为主,辅以化疗。
Objective: To investigate the clinical features, diagnosis and treatment of primary small intestinal tumors. Methods: The clinical data of 32 patients with pathologically confirmed primary small intestinal tumor who had been treated for 16 years were retrospectively analyzed. Results: The clinical manifestations of intestinal tumors were abdominal pain (27/32), jaundice (3/32), blood in the stool (9/32), abdominal distension (8/32), abdominal tenderness, mass (13/32) 2/32), weight loss, weight loss (19/32) is more common. Of which benign small bowel tumors in 8 cases, 24 cases of malignant intestinal tumors, adenocarcinoma accounted for the majority (16 cases). Conclusions: The clinical manifestations of small intestinal tumors are not specific. The accuracy of preoperative diagnosis should be improved by using various auxiliary examinations. The treatment is mainly based on surgery and supplemented by chemotherapy.