小肠原发性恶性肿瘤54例临床分析

Analysis of 54 Cases of Primary Small Intestine Malignant Tumor

（目的）总结小肠原发性恶性肿瘤的诊断及治疗。（方法）回顾分析54例经手术病理证实原发性小肠恶性肿瘤的临床资料。（结果）平均发病年龄41．3岁，30岁～60岁占70．4％。腺癌中位发病年龄49岁，十二指肠为其好发部位，占52．2％（12／23）。平滑肌肉瘤为51岁，空肠占54．5％（6／11）。淋巴肉瘤40岁，回肠占73．7％（14／19）。常见症状为腹痛51．9％（28／54）和腹块46．2％（25／54）。术前确诊率13．0％。术后5年生存率25．3％。（结论）小肠原发性恶性肿瘤以腹痛腹块为主要表现。全小肠X线钡餐检查、胃镜、ERCP等检查诊断意义较大。治疗以手术为首选。

[Purpose] To investigate the diagnosis and treatment for primary small intestine malignant tumor. [Methods]Analysing clinical materials of 54 cases of prinury small intestine malignant tumor which were proved by surgery and pathology,[Results] The average age of the patients was 41. 3 years, 30~60 years old accounted for 70. 4 %. The median age for adenocarci-noma of the small intestine was 49 years, duedenum carcinoma was the most common one (52. 2%). The median age forleiomyosarcoma and Iymphosarcoma was 51 years and 40 years respectively. Jejunum leiomyosarcoma accounted for 54. 5%(6/11), ileum lymphosarcoma is 73. 7%(14/19). The mot common symptoms were abdominal pain in 51. 9% (28/54) and ahdominalmass in 46. 2%(25/54). Diagnosis was comfirmed preoperation in 13.0%- Five years survival from operation was 25. 2%. [Con-clusion] Abdominal pain and mass are main manifestations. Barium meal examination, gastroscopy, ERCP are significant diagnos-tic procedure. Surgical resection is the first choice in treatment.