八例十二指肠良性肿瘤的诊治体会

Benign tumor of duodenum:report of 8 cases

目的 探讨十二指肠良性肿瘤的诊断及治疗方法。 方法 回顾性分析 1989年 2月～ 2 0 0 0年 3月手术切除 ,并经病理证实的 8例十二指肠良性肿瘤。 结果 Brunner腺瘤 3例 ,平滑肌瘤 2例 ,间质瘤 2例 ,脂肪瘤 1例。十二指肠良性肿瘤的临床症状多不典型 ,早期诊断困难。患者均表现为上消化道出血 ,不同程度的贫血 ,这对进一步检查有提示意义。上消化道造影及胃十二指肠镜检查是主要的辅助诊断方法。本组患者均行外科手术切除肿瘤 ,效果良好。 结论 上消化道出血是十二指肠良性肿瘤最常见的症状 ;上消化道造影及胃十二指肠镜检查是主要检查手段 ;

Objective To investigate the problems of diagnosis and treatment in patients with benign tumor of duodenum. Method Clinico pathological data of 8 patients with benign tumors of duodenum treated surgically in our department from 1989 to 2000 were analyzed retrospectively. Results Of the 8 patients, 3 had a Brunner′s grand adenoma, 2 leiomyoma, 2 mesenchymoma, and 1 lipoma. In general, the patients were asymptomatic and the lesions were discovered incidentally. Gastrointestinal bleeding might be the main symptom even if it was nonspecific. Bleeding might be melena or hematemesis and the patients might develop signs of anemia. Upper gastrointestinal tract examination and gastroduodenoscopy was performed before operation in 7 patients. The tumor was removed through longitudinal incision during duodenotomy. Conclusions Gastrointestinal bleeding is common in patients with benign tumor of duodenum. The upper gastrointestinal tract examination and gastroduodenoscopy are major methods for diagnosis. The best treatment of choice is local resection.