224例小肠疾病的临床分析

Clinical analysis of 224 cases of small intestine disease

目的 增加对小肠疾病的认识 ,提高对其的诊断率并探讨检查方法。方法 观察 2 2 4例小肠疾病患者的临床表现 ,分析其主要症状、病因及所采用的诊断方法。结果小肠疾病以腹痛(5 8% )、腹部包块 (18% )、发热 (17% )及便血 (12 % )为主要表现 ;病因以恶性肿瘤为多见 (32 % ) ,其次为憩室 (2 9% )、平滑肌瘤 (7% )、出血、坏死性小肠炎 (6 % )、克隆病 (4 % )。小肠气钡双重造影及剖腹探查仍为目前主要的确诊手段。结论 恶性肿瘤为小肠疾病最多见的病因之一 ,值得重视 ,今后应加强对小肠疾病的诊断。

Objective To increase the knowledge of small intestine disease, improve the diagnostic rate and discuses the examination methods. Methods 224 cases of small intestine disease were studied and their major symptoms, etiology, diagnostic methods were analyzed. Results The major symptoms of small intestine disease were abdominal pain (58%), abdominal mass (18%), fever (17%) and hematochezia (12%).The most common disease of small intestine was malignant tumor (32%), others were diverticulum (29%), leiomyomas(7%), hemorrhagic necrotizing enteritis (6%), Crohn′s disease(4%). Double contrast enteroclysis and laparotomy were still the major diagnostic methods. Conclusion Malignant tumor was the most common disease of small intestine. More attention should be paid to the diagnosis of small intestine disease.