双气囊小肠镜确诊原发小肠肿瘤临床病理分析.doc

双气囊小肠镜确诊原发小肠肿瘤临床病理分析 　　【摘要】 目的 探?双气囊小肠镜（DBE）确诊的原发小肠肿瘤的临床病理特点， 评价DBE对原发小肠肿瘤的诊断价值。方法 对DBE确诊的原发小肠肿瘤患者的临床病理资料进行回顾性研究。结果 DBE诊断原发小肠肿瘤33例， 32例病理确诊为原发小肠肿瘤， DBE诊断准确率达96.97%（32/33）。小肠间质瘤12例， 占比37.5%（12/32）；小肠腺癌8例， 占比25.0%（8/32）；小肠淋巴瘤5例， 占比15.6%（5/32）；小肠管状腺瘤、脂肪瘤、错构瘤各2例， 占比6.3%（2/32）；小肠淋巴管瘤1例， 占比3.1%（1/32）。恶性肿瘤占原发小肠肿瘤的78.1%。十二指肠水平段及空肠段恶性肿瘤最多。腹痛、黑便、消瘦是小肠恶性肿瘤患者主要症状。33例DBE检查未发生并发症。结论 原发小肠肿瘤以恶性肿瘤为主， 高发于十二指肠水平段至空肠上段， 常见症状为腹痛、消瘦、黑便。DBE在诊断原发小肠肿瘤方面具有高准确性及高安全性 【关键词】 双气囊小肠镜；原发小肠肿瘤；临床病理特点 DOI：10.14163/j.cnki.11-5547/r.2016.33.010 Clinicopathologic analysis of double balloon endoscopy-diagnosed primary small intestinal tumor LI Lian-jie， YIN He-kun， LI Qi-xiang. Department of Gastroenterology， Guangdong Jiangmen City Central Hospital， Jiangmen 529030， China 【Abstract】 Objective To investigate clinicopathologic characteristics of double balloon endoscopy （DBE）-diagnosed primary small intestinal tumor， and to evaluate diagnostic value of DBE for primary small intestinal tumor. Methods A retrospective analysis was made on clinicopathologic data of patients with DBE-diagnosed primary small intestinal tumor. Results Among 33 DBE-diagnosed primary small intestinal tumor cases， there were 32 cases diagnosed by pathology， and diagnosis accuracy of DBE was 96.97% （32/33）. There were 12 cases with small intestinal stromal tumor， accounting for 37.5% （12/32）， 8 cases with small intestinal adenocarcinoma， accounting for 25.0% （8/32）， 5 cases with small intestinal lymphoma， accounting for 15.6% （5/32）， 2 cases with small intestinal tubular adenoma， accounting for 6.3% （2/32）， 2 cases with lipomyoma， accounting for 6.3% （2/32）， 2 cases with hamartoma， accounting for 6.3% （2/32）， and 1 case with small intestinal lymphangioma， accounting for 3.1% （1/32）. Malignant tumors accounted for 78.1% in primary small intestinal tumor， with duodenum horizontal segment and jejunum segment malignant tumors held the largest proportion. Main symptoms of malignant small intestinal tumors included abdominal pai