十二指肠原发性恶性肿瘤51例分析

Primary Malignant Duodenal Tumors: An Analysis of 51 Cases

本文报道我院1965年1月至1986年12月经手术或/和病理证实的51例十二指肠原发性恶性肿瘤,将其检查、诊断方法进行了讨论。作者认为:十二指肠原发性恶性肿瘤应采取多种诊断方法,首选钡餐(十二指肠低张双重造影)。X线、内窥镜、超声检查三者共同应用能明显提高术前诊断率。

The authors reported 51 cases of primary malignant tumors of duodenum verified by surgical operations and pathological examinations from January 1965 to December 1986, They found that some of the preoperative diagnoses were uncertain and the suggestive diagnostic accuracy was only 60.9%(14/23) by the barium study (double hypotonic duodenography) alone. The accuracy would be increased to 70.6% (24/34) when barium study was combined with endoscopie retrograde cholangio-pancreatography and the puncture cholangiography. The rate would be further raised to 86.3%(44/51) when the barium study was combined with endoseopy and ultrasonography. It is considered that the primary malignant duodenal tumors should be diagnosed with the combination of various procedures, in which double hypotonic duodenography will be chosen first.