原发十二指肠肿瘤40例临床分析

目的 :了解原发十二指肠肿瘤的临床表现、病理特征和诊断方法 ;方法 :回顾性分析 40例病人住院病历资料。诊断主要靠胃镜及病理组织活检、胃肠钡餐透视 ;结果 :1 973～1 994年经手术及病理证实的 40例原发十二指肠肿瘤患者中 ,发病高峰在 5 0～ 6 0岁 ,男女均等 ,部位以十二指肠降部为多 ,85 %为恶性 ,无特异的临床症状和体征 ;结论 :原发十二指肠肿瘤 85 %为恶性 ,临床表现无明显特征 ,主要依靠联合检查方法 ,以提高检出率。

The Clinical Analysis of Primary Duodenal Tumor

Objective:To study the clinical manifestation,and pathological characteristics and diagnostic methods.Methods:40 cases hospitalized patients’ materials were investigated that the diagnosis depended on the gastroscope,biopsy and gastrointestinal barium study.Results:The incidence peak of 40 cases was at age from 50～60 years old with equal of male and female that the diagnosis was obtained in operation and pathology from 1973～1994.The tumor location was common at descending duodenum of 85% malignant without specific clinical symptoms and signs.Conclusions:85% of primary duodenal tumor were malignant without obvious clinical manifestations.The diagnostic methods should be mainly depended on combined detective methods so that to increase the detectable rate.