原发性小肠肿瘤42例临床分析

Primary small intestinal tumor in 42 cases

目的探讨原发性小肠肿瘤的临床特点及诊治方法。方法回顾性分析郑州大学第一附属医院2003年5月至2010年9月间收治的经手术或内镜病理证实的42例原发性小肠肿瘤患者的临床资料。结果原发性小肠肿瘤缺乏特异性临床表现。肿瘤类型：胃肠间质瘤25例，恶性肿瘤13例，良性肿瘤4例。诊断主要依靠CT、内镜、消化道造影等。术前确诊18例，确诊率为42．9％，40例行手术治疗。结论原发性小肠肿瘤临床表现缺乏特异性，早期诊断率低，对出现消化道症状者，胃镜及结肠镜检查阴性时应警惕小肠肿瘤，联合CT、内镜等检查可以提高诊断率，手术是治疗小肠肿瘤的首选方法。

Objective To investigate the clinical features, diagnosis and treatment of small in- testinal tumor. Methods Datas of 42 patients with primary small intestinal tumor patholoyically confirmed from May 2003 to September 2010 in the first affiliated hospital of Zhengzhou university were analyzed retrospectively. Results Primary small intestinal tumor was lack of specific clinical manifestations. There were 25 cases of gastrointestinal stromal tomors, 13 cases of malignant tumors and 4 cases of benign tumors. The major diagnosis methods were CT, endoscopy, gastrointestinal imaging etc. Eighteen cases of preoperative diagnosis, the preoperative diagnosis rate was 42.9% , 40 cases were given surgical treat- ment. Conclusions The small intestinal tumor was lacks of specific clinical manifestations, and it is dif- ficult to be diagnosed early, for the occurrence of gastrointestinal symptoms, gastroscopy and colonoscopy L negative for cancer should be wary of the small intestine, the CT, endoscopy, gastroinestinal imaging and other related examination can improve the diagnosis rate of small intestinal tumor. Surgery is the preferred method for the treatment of small intestinal tumor.