小肠肿瘤244例临床分析

为探讨小肠肿瘤的临床表现及诊断治疗方法，对244例小肠肿瘤的临床资料进行回顾性分析。结果显示。244例中临床表现为腹痛88例，腹部肿块99例，出血32例，肠梗阻25例。所有患者均经手术证实。肿瘤位于十二指肠20例，空肠126例，回肠98例，术前诊断符合率52％，恶性肿瘤163例根治切除率为54．6％（89／163），其中150例获随访，死亡82例，平均存活（36±16）个月。结果表明，辅助检查对小肠肿瘤诊断符合率低，患者膝胸位和侧卧位腹部检查发现可移动性腹部肿块是诊断小肠肿瘤的一个重要手段。小肠肿瘤临床表现极不典型，由于受检查手段的限制早期诊断极其困难，医师加强对本病的重视和认识是改善患者预后的关键。

Clinical Analysis of 244 Patients with Tumors of Small Intestine

The clinical data of 244 patients with tumors of small intestine were analized retrospectively to discuss the characteristics and diagnostic and treatment methods. As results, abdominal pain, abdominal mass, bleeding and obstruction as clinical manifestations were found in 88,99,32 and 25 cases respectively; Tumors located in duodenum were found in 20 cases,in jejunum 126 cases,and in ileum 98 cases;the correct rate of preoperative diagnosis was 52.0% ;and malignant tumors were found in 163 cases,radical resection was done in 89 cases（54.6%） ;150 cases with malignancy were followed up and 82 cases were dead,the average survival time was （36±16）months. It is suggested that accessary examinations do not good to correct diagnosis,abdominal examination in a knee-chest position or in a laternal recumbent position may find movable mass, which may serve as important means. Because of atypical clinical manifestations and constraints of examination means, Early diagnosis is very difficult. It＇s the key of improving patients＇ prognosis for doctors to strengthen the attention and cognition.