论文部分内容阅读
目的回顾和总结原发性小肠肿瘤的诊治体会,探讨原发性小肠肿瘤的方法。方法 50例原发性小肠肿瘤患者的诊疗过程进行回顾性分析。结果 50例原发性小肠肿瘤患者中恶性肿瘤34例(68.0%),良性肿瘤16例(32.0%),术前确诊21例(42.0%),术中确诊29例(58.0%),所有患者均行手术治疗,部分患者继续行化疗或放疗,其中术后近期死亡2例,恶性肿瘤中行根治性切除术后1、3、5年生存率分别为65.76%、32.24%和22.10%。结论原发性小肠肿瘤临床症状不典型,内镜、X线钡餐检查、B型超声和CT检查是诊断原发性小肠肿瘤的主要方法 ,必要时可行剖腹探查。手术治疗仍是治疗原发性小肠肿瘤的有效方法,术后可根据患者具体情况行化疗或放疗。
Objective To review and summarize the experience of diagnosis and treatment of primary small intestinal tumors and explore the methods of primary small intestinal tumors. Methods A retrospective analysis was performed on the diagnosis and treatment of 50 patients with primary small bowel cancer. Results There were 34 cases (68.0%) of malignant tumors, 16 cases (32.0%) of benign tumors, 21 cases (42.0%) diagnosed before operation, 29 cases (58.0%) diagnosed during operation, All patients underwent surgical treatment. Some patients continued to undergo chemotherapy or radiotherapy. Among them, 2 died of immediate postoperative and 65.76%, 32.24% and 22.10% respectively after radical hysterectomy. Conclusions The clinical symptoms of primary small intestinal tumors are not typical. Endoscopy, X-ray barium meal examination, B-mode ultrasound and CT examination are the main methods to diagnose primary small bowel tumors. If necessary, laparotomy is feasible. Surgical treatment is still an effective method of treatment of primary small bowel cancer, after surgery according to the specific circumstances of patients with chemotherapy or radiotherapy.