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目的 探讨原发性小肠肿瘤的术前诊断问题。方法 对经手术及病理证实的 132例原发性小肠肿瘤进行回顾性分析 ,其中小肠良性肿瘤 37例 ,恶性肿瘤 95例。结果 术前诊断为小肠肿瘤 6 1例 (4 6 .2 % )。诊断方法依靠消化道造影 34例 ,纤维内镜检查加活检 13例 ,选择性动脉造影 11例 ,CT3例 ,余均经手术后病理学检查确诊。结论 小肠分段造影和选择性动脉造影是原发性小肠肿瘤特别是空、回肠肿瘤的重要诊断手段 ;纤维内镜检查和十二指肠低张造影是诊断十二指肠肿瘤最佳选择。
Objective To investigate the preoperative diagnosis of primary intestinal tumor. Methods Retrospective analysis was performed on 132 cases of primary small bowel tumors confirmed by operation and pathology, including 37 cases of small intestine benign tumors and 95 cases of malignant tumors. Results Preoperative diagnosis of intestinal tumor in 61 cases (46.2%). Diagnostic methods rely on gastrointestinal angiography in 34 cases, fibrosa endoscopy and biopsy in 13 cases, selective arteriography in 11 cases, CT3 cases, Yu were diagnosed by postoperative pathology. Conclusion Segmental small bowel angiography and selective arterial angiography are the important diagnostic tools for primary small bowel tumors, especially empty and ileum neoplasms. Fiber endoscopy and duodenal low contrast radiography are the best choice for diagnosis of duodenal tumors.