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原发性小肠肿瘤52例临床分析

Clinical analysis of 52 patients suffering from primary small bowel tumor
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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。 Objective :To investigate the chnical 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 malignant,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 malignant tumor was 1:4.2. The main clinical manifestations were stomachache, alimentary tract hemorrhage, anemia as well as nausea and vomiting. The malignant tumor diagnostic accordance rate was 52.4% (22/42) ,The diseased regions of the malignant 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 mahgnant tumor was 88.1% (37/42). Conclusion: Most of primary small bowel tumors are malignant.Radical excision operation is the effectual treatment of small bowel tumor.
作者 吴宗辉 甘露
出处 《现代医药卫生》 2007年第21期3170-3172,共3页 Journal of Modern Medicine & Health
关键词 小肠 肿瘤 诊断 治疗 Small bowel Tumor Diagnosis Treatment
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