原发性小肠肿瘤的误诊分析及对策

Analysis and countermeasures for misdiagnosed primary cancer of small bowel

目的:探讨原发性小肠肿瘤的误诊原因及预防措施。方法:回顾性分析两所医院8年和6年来收治的13例原发性小肠肿瘤的临床资料。结果:最常见的临床表现为腹痛、腹部肿块、肠梗阻、消化道出血等。术前正确诊断率为23.1%(3/13)。13例均经手术治疗,其中,良性肿瘤6例,恶性肿瘤7例,11例获随访,死亡1例。结论:小肠肿瘤缺乏特异性临床表现,检查手段相对不足,容易误诊。临床医生应提高对小肠肿瘤的认识,及时剖腹探查是可靠的诊断方法。

Objective：To investigate the causes and preventions for mis- diagnosed primary small bowel tumor（PSBT）. Methods：A retrospective analysis was made on the clinical data of 13 PSBT cases in two hospitals in 8 years and 6 years respectively. Results ： The most common clinical manifestations of this tumor were abdominal pain and mass, intestinal obstruction and gastrointestinal hemorrhage and only 23.1% was confirmed before operation. Of the total 13 cases undergone surgical therapy, 6 were benign and 7, malignant tumor case. The follow-up of 11 cases revealed 1 death. Conclusion ： Absence of specific clinical symptoms and poor examination approaches might result in misdiagnosis of this disease, and thus, recommended is exploratory laparotomy.