原发性小肠肿瘤60例临床分析

目的 探讨原发性小肠肿瘤的临床特点、诊断及治疗方法.方法 回顾分析60例原发性小肠肿瘤从肿瘤的发病部位、病理、临床表现、诊断及治疗.结果 术前经内窥镜、X线、B超及CT等检查,术前确诊率（25.0%,15/60）明显低于术后确诊率（75.0%,45/60）（Х^2=9.145,P＜0.01）;好发部位：十二指肠20例（33.3%）,空肠13例（21.6%）,回肠27例（45.5%）;60例均经手术证实诊断,良性肿瘤18例（30.0%）,明显低于恶性肿瘤的42例（70.0%）（Х^2=8.215,P＜0.01）;腺癌22例（36.0%）,明显高于其它性质肿瘤15例（25.0%）、5例（8.3%）、2例（3.3%）、2例（3.3%）、1例（1.6%）、3例（3.3%）、4例（6.6%）、3例（3.3%）、3例（3.3%）]（Х^2=3.89、8.89、9.152、9.162、10.23、9.012、8.999、9.042、9.111,均P＜0.05）;良性肿瘤行局部肠壁或肠段切除,恶性肿瘤行根治性切除.结论 原发性小肠肿瘤的临床表现缺乏特异性,手术切除是主要的治疗手段.

Clinical analysis of 60 cases of primary small Intestinal tumors

Objective To investigate clinical features, diagnosis and treatment of the primary small intestinal tumor. Methods 60 patients with primary small intestinal tumor which were confirmed by operation and pathological test were retrospectively analyzed. The location of tumor, pathological characteristics, clinical manifestation, diagnosis and treatment were analyzed. Results The endoscopy,X-ray,type-B ultrasonic,and CT examination were done preoperatively. The diagnosis rate preoperation 15 cases (25. 0%) was lower than 45 cases (75. 0%) postoperation (x2=9. 145,P＜0.01) ;Predilection sites;the duodenum in 20 cases(33.3%) jejunum in 13 cases(21.6%) ,ileum in 27 cases(45.5%) ;60 cases were confirmed by surgery diagnosis,18 cases(30.0%) in benign tumors were significantly lower than that 42 cases(70.0%) in malignant tumors(x2=8.215,P＜0.01) ;The incidence of adenocarcinoma in 22 cases(36. 0%) of adenocar-cinoma were significantly higher than other nature of the tumor 15 (25. 0%),5 (8.3%),2(3.3%),2(3.3%),1(1.6%),3(3.3%),4(6.6%),3(3.3%),3(3.3%)](x2=3.89,P＜0.01;x2=8.89,9.152,9.162,10.23,9.012,8.999,9.042,9.111,all P＜0.01);Partial resection of the intestinal wall or intestinal section was done for benign tumor. Radical resection was done for malignant tumor. Conclusion The clinical manifestations of primary tumors of small intestine were not specificity.