小肠恶性肿瘤28例临床分析

Primary malignant tumors of small bowel:An analysis of 28 cases

目的：分析２８例小肠恶性肿瘤的临床表现。方法：回顾性调查１９８８～１９９５年经术后病理学证实的小肠恶性肿瘤病例。结果：小肠恶性肿瘤发病率占同期大肠恶性肿瘤的２．９５％；其中，腺癌１５例（占５３．６％），平滑肌肉瘤９例（占３２．１％）。术前确诊率仅为１７．９％。结论：小肠肿瘤有腹痛、腹腔肿块、肠梗阻、消化道出血四大临床表现，并采用内窥镜、低张气钡造影、选择性动脉造影及ＣＴ检查，可提高该病的早期诊断率。

Objective:To study clincal findings of patients with primary malignant tumors of small bowel.Methods:28 cases of primary malignant tumors of the small bowel were analysed retrospectively from 1988 to 1995.Results:Among the 28 cases,15 belonged to adenocarinoma(53.6%),9 to smoothmusclecarcinoma( 32.1 %),but only 5 were diagnosed accurately before operation(17.9%).Conclusions:Attention must be paied to abdominal pain,abdominal masses,bowel obstruction and hemorrage from the intestine in diagnosis of small bowel tumor.Endoscopy,hypotonic air contrast barium,selective arteriography and computerized tomography are recommended in high risk patients.