原发性小肠肿瘤41例诊治体会

Diagnosis and Treatment of 41 Cases of Primary Small Intestinal Tumor

目的总结原发性小肠(空、回肠)肿瘤的临床特点及诊疗经验。方法对1999年至2012年收治的经手术治疗、病理确诊的41例原发性空、回肠肿瘤进行回顾性分析。结果本组病例良性11例、恶性30例,发生在空肠16例,回肠25例。主要临床表现为腹痛、腹部包块、消化道出血、肠梗阻等,术前确诊率低,但近来有所提高,CT、胶囊内镜、小肠镜检查、PET-CT等对小肠肿瘤诊断有意义。结论小肠肿瘤无特异性临床特征。CT、PET-CT、胶囊内镜、小肠镜检查有助于早期诊断。

Objective To summarize the clinical characteristics and the diagnosis and treatment experience of the primary small intestinal tumor（jejunum and ileum）. Methods To do retrospective analysis of 41 cases of primary small intestinal tumor with surgery and pathological diagnosis during the year 1999 to 2012. Result The group include 11 benign cases and 30 malignant case. Among all the cases, 16 occured in the jejunum while 25 occured in the ileum. The main clinical manifestations are abdominal pain, abdominal mass, gastrointestinal bleeding and intestinal obstruction. Preoperative diagnosis is diffcult, however, the situation has been improved lately. CT, endoscopy, enteroscopy and PET-CT help to diagnose the small intestinal tumor. Conclusion Small intestinal tumor has no specific clinical features, but CT, endoscopy, enteroscopy and PET-CT are helpful in the early diagnosis.