原发性小肠肿瘤53例临床分析

目的:探讨原发性小肠肿瘤的类型﹑临床特点及诊断方法。方法:回顾性分析53例原发性小肠肿瘤的临床和病理资料。结果:小肠良性肿瘤11例,其中平滑肌瘤3例,占27.3%。小肠恶性肿瘤42例,其中间质细胞肉瘤17例,占40.5%;其次为腺癌15例,占35.7%。胃十二指肠镜检查18例,其中9例阳性;CT检查32例,其中25例阳性。结论:应综合利用纤维胃十二指肠镜﹑CT、选择性动脉造影和逆行胰胆管造影(ERCP)等检查手段,以提高小肠肿瘤的诊断率。

Clinical Analysis of Small Intestinal Tumors in 53 Cases

Objective: To explore the pathological type, clinical characteristics and diagnosis of primary small intestinal tumor (PSIT). Methods: Retrospective analysis of the clinicopathological data for 53 cases with primary small intestinal tumor was conducted. Results: Among the cases, there were 11 with benign small intestinal tumor and most of the benign tumors were leiomyomas (27.3%). There were 42 malignant small intestinal tumor cases. Interstitial sarcoma was the most frequently seen malignant PSIT (40.5%) and adenocarcinoma was the second most frequent (35.7%). Gastroduodenoscopy was performed in 18 cases, of which the results of 9 were positive. Computerized tomography (CT) was conducted for 32 cases and 25 positive results were found. Conclusions: To enhance the diagnostic rate of PSIT, parallel evaluation using gastroduodenoscopy, CT, selective arteriography and endoscope retrograde cholangiopancreatography (ERCP) is needed.