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目的探讨原发性小肠系膜肿瘤的临床表现和诊治方法。方法对 1982年 1月～ 2 0 0 2年 1月的 2 1例患者的临床资料经临床和病理证实进行总结分析。结果原发性小肠系膜肿瘤早期缺乏特异性症状 ,晚期以横向活动的腹部肿块和腹痛为主要表现。良性肿瘤 12例 ,恶性肿瘤 9例 ,病理类型多样 ,治疗以手术为主。结论原发性小肠系膜肿瘤 ,术前诊断困难 ,选择小肠造影、B超及穿刺细胞学等检查 ,可以获得较高的术前确诊率。预后与肿瘤的组织病理、治疗方法等有关。
Objective To investigate the clinical manifestations and diagnosis and treatment of primary small mesenteric tumors. Methods The clinical data of 21 patients from January 1982 to January 2002 were analyzed clinically and pathologically. Results Primary small mesenteric tumors lack of specific early symptoms, the late laterally active abdominal mass and abdominal pain as the main performance. 12 cases of benign tumors, 9 cases of malignant tumors, various pathological types, the main treatment for surgery. Conclusions Primary small mesenteric tumor is difficult to be diagnosed preoperatively. Choosing small bowel radiography, ultrasonography, biopsy and other tests can obtain a high preoperative diagnosis rate. Prognosis and tumor histopathology, treatment and so on.