原发性小肠肿瘤86例临床分析

目的探讨原发性小肠肿瘤(PIT)的外科诊治经验，以提高对PIT的诊治水平。方法回顾性分析1988-2003年收治的86例PIT的临床资料。结果86例中，良性肿瘤占20．9％(18虑6)，恶性肿瘤占79．1％(68/86)。恶性肿瘤以腺癌多见，占41．2％(28/88)。X线检查是主要诊断手段，B超、CT、内镜、肠系膜血管造影也有助于诊断。全组均行手术治疗，其中急诊手术率为34．9％(30/86)。本组无手术死亡。恶性肿瘤1、3、5年生存率分别为73．5％、49．0％、24．5％。结论PIT术前诊断困难，误诊率与急诊手术率高。一经诊断，手术治疗是最佳选择。

Clinical analysis of patients with primary intestinal tumours:a report of 86 cases

Objective To explore the diagnosis and surgical treatment of primary intestinal tumors(PIT),to improve the diagnosis and treatment.Methods Retrospective analysis was made on the clinical data of 86 patients with PITs admitted to our hospital from 1988 to 2003.Results Out of the 86 cases,20.9%(18/86) had benign tumors,while the remaining 79.1%(68/86) were malignancies.Adenocarcinoma was the most common type of malignancy(41.2%,28/68).The main diagnostic methods were X ray,B ultrasonic,CT,endoscopy and superior mesenteric arteriograplty.Of the 86 cases underwent operation,30 underwent emergent operation(34.9%,30/86).In this series,there was no operative death.The 1,3,5 year survial rates of malignance were 73.5%,49.0%,24.5%,respectively.Conclusion PIT is not easily diagnosed before operation,and the misdiagnosis rate and emergent operation rate are high.Once the diagnosis of PIT is made,the best choice of treatment is operation.