75例原发性小肠肿瘤的临床诊治

目的：探讨原发性小肠肿瘤的临床诊断和治疗经验。方法：回顾性分析75例原发性小肠肿瘤的诊断和治疗结果。结果：原发性小肠肿瘤以腹痛（62．6％）、肠梗阻（38．6％）、 出血（29．3％）、腹部肿块（25．3％）、消瘦（20．0％）、贫血（20．0％）及黄疸（9．3％）为首发症状。临床常用辅助检查阳性率分别为胃十二指肠镜53．3％、B超56．7％，全消化道钡透77．7％、选择性动脉造影58．3％，腹部CT70．6％。结论：通过对临床症状、体征的分析，结合辅助检查可以在一定程度上提高原发性小肠肿瘤的诊断率。

Clinical Analysis of Diagnosis and Treatment of 75 Cases of Primary Small Intestine Neoplasm

Objective:To explore the clinical experience of diagnosis and treatment of primary small intestine neoplasm. Methods:Retrospectively analyze the results of diagnosis and treatment of 75 cases of primary small intestine neoplasm. Results:The first symptoms of the primary small intestine neoplasm are bellyache(62.6%)?ileus(38.6%)? bleeding(29.3%)?abdomen bump(25.3%)?thinning(20.0%)?anemia(20.0%)?jaundice(9.3%). The common supplementary examinations in clinic and the masculine rates are gastroduodenoscope(53.3%)?B-ultrasound(56.7%)?barium meal examination of gastro-intestinal tract(77.7%)?selective arteriography(58.3%)?and abdomen CT(70.6%). Conclusions:By anatomizing the clinical symptom and sign, combining the common supplementary examinations in clinic we can improve the diagnosis rate to a certain extent,and thus improve the clinical treatment effect.