原发性小肠肿瘤的诊治经验(附60例报告)

目的探讨原发性小肠肿瘤的临床特点、误诊原因及诊断方法。方法回顾性分析我院1985年1月~2005年12月诊治的原发性小肠肿瘤60例的临床资料。结果本组术前仅确诊21例,余均误诊,误诊率达75%。术后发生肺部感染2例、切口感染3例、粘连性肠梗阻2例,均经保守治疗治愈;发生胰瘘1例,病人于术后11d死于多器官功能衰竭。结论本病少见,容易误诊。上消化道内镜检查、X线钡餐检查、BUS及CT检查是诊断本病的主要方法。

Diagnosis and treatment of small bowel tumors:A report of 60 cases

Objective To explore the diagnosis and treatment of primary small intestinal tumors. Methods Retrospective analysis of the clinical data were made on 60 cases of primary small bowel tumors. Results Before operation,21 cases of small intestinal tumors were diagnosed.The misdiagnosis rate was 75%. Partial excision was performed on 19 cases of benign small intestinal tumors,radical excision on 28 cases of malignant tumors,palliative excision on 6 cases and shortcut operation on 5 cases respectively. One patient died after operation.Conclusion Before operation,the misdiagnosis rate of primary small intestinal tumors was high.Fiber endoscopy and X-ray may bring a high diagnostic rate of small intestinal tumor.