摘要
目的探讨原发性小肠肿瘤的临床特点及误诊原因。方法原发性小肠肿瘤54例资料回顾性分析。结果原发性小肠肿瘤54例中32例被误诊,误诊时间2～16个月,误诊率59%,良性原发性小肠肿瘤11例,恶性原发性小肠肿瘤21例;肿瘤位于十二指肠7例,空肠13例,回肠12例,肿瘤最常见的临床表现为腹痛、腹块、消化道出血、肠梗阻、黄疸等,全消化道钡餐、常规CT诊断率较低,低张小肠造影、小肠CT及MRI仿真内镜、DSA检查均有助于病变的诊断。结论误诊的原因为认识不足,临床表现不典型。
Objective To explore the clinical characteristics and causes of misdiagnosis of primary small intestinal tumors. Methods 54 cases of primary small intestinal tumors were retrospectively analyzed. Results Among them,32 of 54 cases were misdiagnosed for 2 to 16 months. Preoperative misdiagnosis rate was 59%. In this group, 11 cases were benign tumors while the other 21 cases were malignant tumors located at duodenum jejunum and ileum were found in 7 cases, 13 cases and 12 cases respectively. The most common clinical presentations were abdominal pain, abdomen mass, gastrointestinal haemorrhage and jaundice, etc. The accurate diagnosis rate of whole digestive tract radiography and CT scanning was lower,while small radiography of hypotonic and CTVE and MRVE and DSA was helpful to make sure the portion and quality of the lesion. Conclusion The reasons of misdiagnosis are following： insufficient understanding about the disease,the clinical presentation of primary small intestinal tumor is untypical prognosis of these patients.
出处
《中国基层医药》
CAS
2006年第6期982-983,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
小肠肿瘤
误诊
Small intestinal tumor
Diagnostic errors
