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目的:通过对儿童原发性小肠肿瘤早期临床表现的认识,以期获得更早期的诊断。方法:对1986~2002年收治的29例儿童原发性小肠肿瘤临床表现、继发疾病、诊断及误诊原因作回顾性分析。结果:29例小肠肿瘤中,良性16例,恶性13例。术前主要临床表现为反复发作腹痛22例,其中固定性腹痛8例,血便4例,腹块2例;继发肠套叠16例,其中2岁以上14例,肠梗阻4例,肠系膜淋巴结进行性增大1例。术前明确诊断者5例,24例误诊。结论:对儿童出现慢性腹痛尤其表现为固定于一个区域的腹痛、不明原因的血便、进行性肠系膜淋巴结肿大、反复发作的肠套叠及不全性肠梗阻应警惕小肠肿瘤的存在。
Objective: To understand the early clinical manifestations of childhood primary intestinal tumor in order to obtain an earlier diagnosis. Methods: The clinical manifestations, secondary diseases, diagnosis and misdiagnosis of 29 cases of primary intestinal tumor admitted from 1986 to 2002 were analyzed retrospectively. Results: Of the 29 cases of small bowel tumors, 16 were benign and 13 were malignant. The main clinical manifestations were recurrent abdominal pain in 22 cases, including 8 cases of fixed abdominal pain, bloody stool in 4 cases, abdominal block in 2 cases; secondary intussusception in 16 cases, including 2 years of age in 14 cases, 4 cases of intestinal obstruction, mesenteric lymph nodes Progressive increase in 1 case. 5 cases were diagnosed before surgery and 24 cases were misdiagnosed. CONCLUSIONS: The occurrence of chronic abdominal pain in children manifests itself especially in abdominal pain, unexplained bloody stools, progressive mesenteric lymph nodes, recurrent intussusception and incomplete intestinal obstruction in small intestine tumors.