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目的 探讨小肠肿瘤并发症的发生及其诊治。方法 回顾性分析 1980年 1月至 2 0 0 1年 6月间收治的 47例有并发症的小肠肿瘤的临床资料。结果 47例中恶性肿瘤 33例 (70 % )。并发症包括出血 17例、穿孔 8例、肠套叠 11例、肠梗阻 8例、肠扭转 1例、腹内疝 1例、肠扭转加肠套叠1例。腹痛为主要症状。X线检查是主要诊断手段 ,B超、CT、MRI也有助于诊断。良性肿瘤行局部肠段切除 ,恶性肿瘤 2 5例行根治性切除 ,7例行姑息性切除。2例死于术后全身衰竭。结论 小肠肿瘤早期诊断困难 ,多数因并发症就诊 ,外科手术是主要的治疗方法。
Objective To investigate the incidence of intestinal tumor complications and its diagnosis and treatment. Methods The clinical data of 47 cases of small bowel tumors with complications admitted between January 1980 and June 2001 were retrospectively analyzed. Results 47 cases of malignant tumors in 33 cases (70%). Complications included hemorrhage in 17 cases, perforation in 8 cases, intussusception in 11 cases, intestinal obstruction in 8 cases, intestinal torsion in 1 case, intra-abdominal hernia in 1 case, intestinal torsion plus intussusception in 1 case. Abdominal pain as the main symptom. X-ray examination is the main diagnostic tool, B-, CT, MRI also contribute to the diagnosis. Local resection of benign tumors, 25 cases of radical resection of malignant tumors, 7 cases of palliative resection. 2 patients died of postoperative systemic failure. Conclusions The early diagnosis of small bowel tumors is difficult. Most of them are diagnosed due to complications. Surgery is the main treatment method.