小肠原发性肿瘤的临床表现与诊断

Clinical presentation and diagnosis of primary small intestinal tumor

原发性小肠肿瘤在临床上较少见,其临床表现缺乏特异性,可表现为消化道出血、腹痛、腹块、肠梗阻等,因此诊断较为困难。目前常用的诊断方法包括小肠钡灌、多层螺旋CT小肠造影、磁共振小肠造影、胶囊内镜、双气囊小肠镜、经小肠镜超声检查、小肠血管造影等。对于临床怀疑小肠肿瘤的患者,应根据患者的具体情况选用各种检查方法以提高术前诊断率并缩短诊断时间。

Small intestinal tumors is uncommonly encountered in clinical practice. The lesions in early stage developed insidiously with nonspecific manifestation such as bleeding, abdominal pain, obstruction. There are many methods for diagnosis such as small bowel enteroclysis, multislice CT enterolysis, MR enterolysis, capsule endoscopy and double balloon enteroscopy etc. Smart application of these diagnostic modalities could effectinvely increase diagnostic yields.