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目的分析原发性小肠肿瘤的临床病理特征及诊断方法。方法回顾性分析经病理证实的58例原发性小肠肿瘤的临床资料。结果恶性45例,以腺癌、平滑肌肉瘤、恶性淋巴瘤为主。良性13例,以平滑肌瘤、血管瘤、腺瘤为主。主要临床表现为腹痛、出血、贫血、腹块、黄疸、消瘦、肠梗阻等。术前确诊率为15.52%(9/58),易误诊为其他消化系统疾病及盆腔疾病。结论原发性小肠肿瘤以恶性多见。临床表现缺乏特异性,检查手段相对不足,诊断较困难,临床医生应提高对小肠肿瘤的认识。DSA,胃肠X线、内镜及B超、CT等检查有一定诊断价值。
Objective To analyze the clinicopathological features and diagnosis of primary small intestinal tumors. Methods Retrospective analysis of 58 cases of pathologically confirmed primary intestinal tumor clinical data. The results of 45 cases of malignant, with adenocarcinoma, leiomyosarcoma, malignant lymphoma based. Thirteen patients were benign, mainly leiomyoma, hemangioma and adenoma. The main clinical manifestations of abdominal pain, bleeding, anemia, abdominal mass, jaundice, weight loss, intestinal obstruction. Preoperative diagnosis rate was 15.52% (9/58), easily misdiagnosed as other digestive diseases and pelvic disease. Conclusion Primary malignant tumors of small intestine more common. Lack of specificity of clinical manifestations, the relative lack of examination means that the diagnosis is more difficult, clinicians should raise awareness of small bowel tumors. DSA, gastrointestinal X ray, endoscopy and B ultrasound, CT and other tests have a certain diagnostic value.