原发性小肠肿瘤52例临床研究.doc

原发性小肠肿瘤52例临床研究【摘要】目的：探讨原发性小肠肿瘤的临床病理特征及诊治方法。方法：回顾性分析2000年1月~2006年12月收治的52例原发性小肠肿瘤的临床资料、病理特征、术前诊断方法及治疗。结果：原发性小肠肿瘤中恶性肿瘤居多，占80.8%（42/52），良性19.2%（10/52）。主要临床表现为腹痛、消化道出血、贫血及恶心、呕吐。本组恶性肿瘤诊断符合率为52.4%（22/42），恶性肿瘤分布为十二指肠47.6%（20/42），空肠31%（13/42），回肠21.4%（9/42），而良性肿瘤则空肠居多50%（5/10），回肠其次30%（3/10），十二指肠20%（2/10）。恶性肿瘤手术根治率88.1%（37/42）。结论：原发性小肠肿瘤以恶性多见，根治性切除术是小肠肿瘤最有效的治疗方法。 【关键词】小肠；肿瘤；诊断；治疗 文章编号：1009-5519（2007）21-3170-03 中图分类号：R73 文献标识码：A Clinical analysis of 52 patients suffering from primary small bowel tumor WU Zong-hui1，GAN Lu2 (1.Department of General Surgery，The Hospital of Xinan University，Chongqing 400715，China；2.Department of General Surgery，Southwest Hospital，Third Military Medical University，Chongqing 400038，China） 【Abstract】Objective：To investigate the clinical pathological features，diagnosis and treatment of primary small bowel tumor. Methods：52 cases of primary small bowel tumor were included in this study. The clinical data， pathological features， diagnosis and treatment were studied retrospectively.Results：Most of primary small bowel tumors were m alignant,the rate was 80.8%（42/52）,the rate of benign tumor was 19.2%（10/52）. The ratio of the benign tumor to the m alignant tumor was 1∶4.2. The main clinical manifestations were stomachache，alimentary tract hemorrhage，anemia as well as nausea and vomiting. The m alignant tumor diagnostic accordance rate was 52.4%（22/42），The diseased regions of the m alignant tumor were duodenum(20 cases)， jejunum(13 cases) and ileum(9 cases). The diseased regions of the benign tumor were duodenum (2 cases)， jejunum (5 cases) and ileum (3 cases). The rate of radical excision operation of m alignant tumor was 88.1%（37/42）. Conclusion：Most of primary small bowel tumors are m alignant.Radical excision operation is the effectual treatment of small bowel tumor. 【Key words】Small bowel；Tumor；Diagnosis；Treatment 原发性小肠肿瘤（primary small bowel tumor，PSBT）发病率较低，仅占全身恶性肿瘤的0.4%，因其缺乏典型的临床症状和体征，亦无特异的早期诊断方法，所以误诊率较高[1，2]。现将本院2000年1月~2006年