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目的 探讨原发性小肠肿瘤的临床诊断方法。方法 对我院1991—1999年诊断和治疗的61例患者进行总结。结果十二指肠球部肿瘤5例、降部33例,34例为腺癌;内镜诊断26例(26/27)。23例空回肠肿瘤中4例有出血症状;4例有肠套叠;7例有肠梗阻;3例女患以附件肿瘤收入妇科;平滑肌瘤2例、肉瘤12例,占60.9％;动脉造影诊断2例;以腹部包块或消化道出血等临床诊断行剖腹探查术21例。结论 内镜早期诊断十二指肠肿瘤是可能的;空回肠肿瘤可行动脉造影或小肠分段造影,必要时行剖腹探查术。
Objective To investigate the clinical diagnosis of primary small intestinal tumors. Methods A total of 61 patients diagnosed and treated in our hospital from 1991 to 1999 were summarized. Results There were 5 cases of duodenal tumor, 33 cases of descending part, 34 cases of adenocarcinoma and 26 cases of endoscopic diagnosis (26/27). Of the 23 patients with empty ileum, 4 had hemorrhage; 4 had intussusception; 7 had intestinal obstruction; 3 received gynecologic cancer; 2 had leiomyoma and 12 had sarcoma, accounting for 60.9% 2 cases of contrast diagnosis; abdominal block or gastrointestinal bleeding and other clinical diagnosis of laparotomy in 21 cases. Conclusion Early diagnosis of endoscopic duodenal tumor is possible; empty ileum tumor arterial angiography or small bowel angiography, if necessary, laparotomy.