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原发性小肠肿瘤93例临床分析
引用本文:刘韬韬,王吉耀,沈锡中.原发性小肠肿瘤93例临床分析[J].复旦学报(医学版),2001,28(2):145-147.
作者姓名:刘韬韬  王吉耀  沈锡中
作者单位:复旦大学附属中山医院消化科
摘    要:目的 探讨小肠肿瘤类型、临床特点及其诊断。方法 回顾性病例分析。结果 小肠良性肿瘤中以平滑肌瘤为多,占12/17;恶性肿瘤中以腺癌多见,占45/76。小肠肿瘤可表现为消化道出血、腹痛、腹块、发热、黄疸等。上消化道钡餐(GI)检查28例,21例阳性;9例行动脉造影,手术证实病变部位与造影一致。结论 动脉造影对小肠肿瘤有定性定位诊断价值,逆行胰胆管造影(ERCP)、CT也有一定的诊断价值。

关 键 词:小肠肿瘤  动脉造影  逆行胰胆管造影  ERCP  CT  治疗  临床特点

Clinical Analysis of Small Intestinal Tumors in 93 Cases
Liu Tao-tao,WANG Ji-yao,SHEN Xi-zhong.Clinical Analysis of Small Intestinal Tumors in 93 Cases[J].Fudan University Journal of Medical Sciences,2001,28(2):145-147.
Authors:Liu Tao-tao  WANG Ji-yao  SHEN Xi-zhong
Abstract:Purpose To explore the clinical characteristics of small intestinal tumors and its diagnosis. Methods Retrospective analysis of cases. Results Leiomyoma was most common among the benign small intestinal tumors(12/17),adenocarcinoma was most common among the malignant small intestinal tumors(45/76).The feature of the small intestinal tumors could be hemorrhage,abdominal pain,abdominal mass,fever and jaundice.Upper gastrointestinal tract barium contrast study was performed in 28 cases,and the results of 21 cases were positive.Mesenteric arteriography was performed in 9 cases.It was confirmed by surgery that the results matched with the lesions. Conclusions Mesenteric arteriography is of great value in diagnosis of the small intestinal tumors endoscope retrograde cholangiopancreatography(ERCP),CT are also helpful.
Keywords:small intestine  arteriography  endoscope retrograde cholangiopancreatography
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