原发性小肠肿瘤54例诊治分析

An analysis of the diagnosis and the treatment of 54 cases with primary small bowel tumors

目的探讨原发性小肠肿瘤的临床特点及诊治方法。方法回顾性分析我院1994年1月～2010年12月收治的54例原发性小肠肿瘤的临床资料。结果 54例均经手术和(或)病理检查证实诊断,其中良性肿瘤14例(25.9%),恶性肿瘤40例(74.1%)。主要临床表现为腹痛、腹部肿块、肠梗阻、消化道出血、黄疸、消瘦及消化道穿孔等。其中52例经手术治疗,良性肿瘤行肿瘤局部肠段切除,恶性肿瘤行根治性切除、姑息性切除或捷径手术,无手术死亡。结论小肠肿瘤缺乏特异性体征,术前误诊率高。对有出血、腹痛、梗阻、腹部肿块等临床表现者,应怀疑本病可能,对诊断不明确者应综合采用各种检查,必要时剖腹探查。手术切除是最有效的治疗。

Objective To explore the clinical characteristics,diagnosis and treatment of primary small intestinal tumors.Methods The clinical data were analyzed retrospectively in 54 cases in our hospital between January 1994 and December 2010.Results There were 14 benign tumors and 40 malignant ones.The common clinical presentations were abdominal pain,abdominal mass,intestinal obstruction,gastrointestinal hemorrhage,and among 52 patients under went operation,and there was no operation death.Conclusion The clinical manifestations in small intestinal tumors are non-specific,and there exists a higher misdiagnosis rate before operation.It is likely to have the tumors of small intestine who has the clinical manifestations such as gastrointestinal hemorrhage,abdominal pain,intestinal obstruction and abdominal mass.Suspected patients should receive various examination;if possible,exploratory laparotomy should be considered.Prompt operation must be performed once the definite diagnosis is made.