摘要
本文报道原发性小肠肿瘤27例,肿瘤分布:十二指肠7例,空肠、回肠各10例。其中良性肿瘤9例,以平滑肌瘤多见;恶性肿瘤18例,以腺癌多见,其次为平滑肌肉瘤和淋巴肉瘤。腹痛、消化道出血、腹部包块、肠梗阻及贫血、消瘦是小肠肿瘤的常见症状和体征。本组临床诊断与术后及病理诊断对照。误诊率达48.1％。作者就小肠肿瘤的发生率、临床特点及诊断方法进行了讨论,认为提高小肠肿瘤特别是恶性肿瘤的早期诊断率,对治疗和预后至关重要。
Twenty-Seven cases of primary small intestinal tumors were reported. Seven tumors were located in the duodenum,ten in the jejunum,and another ten in the ileum. Among them, 18 tumors were malignant which included adenocarcinoma,leiomyosarcoma and lymphoma. Abdominal pain, intestinal hemorrhage,mass,bowel obstruction,anemia and emaciation were main symptoms and signs. In this group,the rate of misdiagnosis was up to 48.1％ before operation and pathological examination. The morbidity,clinical characteristics, and diagnostic procedures of the disease were discussed.
