75例原发性小肠肿瘤的临床诊治

Clinical Analysis of Diagnosis and Treatment of 75 Cases of Primary Small Intestine Neoplasm

目的 :探讨原发性小肠肿瘤的临床诊断和治疗经验。方法 :回顾性分析 75例原发性小肠肿瘤的诊断和治疗结果。结果 :原发性小肠肿瘤以腹痛 ( 6 2 .6 % )、肠梗阻 ( 38.6 % )、出血 ( 2 9.3% )、腹部肿块 ( 2 5 .3% )、消瘦 ( 2 0 .0 % )、贫血 ( 2 0 .0 % )及黄疸 ( 9.3% )为首发症状。临床常用辅助检查阳性率分别为胃十二指肠镜 5 3.3%、B超 5 6 .7%、全消化道钡透 77.7%、选择性动脉造影 5 8.3%、腹部CT 70 .6 %。结论 :通过对临床症状、体征的分析 ,结合辅助检查可以在一定程度上提高原发性小肠肿瘤的诊断率。

Objective:To explore the clinical experience of diagnosis and treatment of primary small intestine neoplasm. Methods:Retrospectively analyze the results of diagnosis and treatment of 75 cases of primary small intestine neoplasm. Results:The first symptoms of the primary small intestine neoplasm are bellyache(62.6%)?ileus(38.6%)? bleeding(29.3%)?abdomen bump(25.3%)?thinning(20.0%)?anemia(20.0%)?jaundice(9.3%). The common supplementary examinations in clinic and the masculine rates are gastroduodenoscope(53.3%)?B-ultrasound(56.7%)?barium meal examination of gastro-intestinal tract(77.7%)?selective arteriography(58.3%)?and abdomen CT(70.6%). Conclusions:By anatomizing the clinical symptom and sign, combining the common supplementary examinations in clinic we can improve the diagnosis rate to a certain extent,and thus improve the clinical treatment effect.