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目的探讨原发性小肠肿瘤的类型、临床特点及诊断,分析小肠肿瘤误诊误治原因,提出防范措施。方法回顾性分析44例原发性小肠肿瘤的临床资料和病理资料。结果小肠良性肿瘤10例,其中平滑肌瘤3例,占30%。小肠恶性肿瘤34例,其中间质细胞肉瘤14例,占41.2%,其次为腺癌12例,占35.3%。胃十二指肠镜检查17例,其中9例阳性,CT检查25例,其中19例阳性。结论应综合利用纤维胃十二指肠镜,CT、X线钡餐检查、选择性动脉造影和逆行胰胆管造影(ERCP)等检查手段,以提高小肠肿瘤的诊断率,减低误诊率。
Objective To investigate the type, clinical features and diagnosis of primary small intestinal tumors, analyze the causes of misdiagnosis and mistreatment of small intestinal tumors, and propose preventive measures. Methods Retrospective analysis of 44 cases of primary intestinal tumor clinical data and pathological data. Results 10 cases of benign small bowel tumors, including leiomyoma in 3 cases, accounting for 30%. 34 cases of intestinal malignant tumor, including 14 cases of stromal cell sarcoma, accounting for 41.2%, followed by adenocarcinoma in 12 cases, accounting for 35.3%. Gastroduodenoscopy in 17 cases, of which 9 were positive, CT examination in 25 cases, of which 19 were positive. Conclusions The diagnosis of small intestine tumor should be improved and the rate of misdiagnosis should be reduced by comprehensively using such methods as fibroscopic gastroduodenoscopy, CT, X-ray barium examination, selective arterial angiography and retrograde cholangiopancreatography (ERCP).