Title

小肠肿瘤48例临床分析

Translated Titles

Diagnosis and Treatment of Small Intestinal Tumor: An Analysis of 48 Cases

Authors

王天宝(Tian-Bao Wang);董文广(Wen-Guang Dong);曾庆东(Qing-Dong Zeng);李兆亭(Zhao-Ting Li)

Key Words

肠肿瘤/诊断 ; 小肠 ; 肠肿瘤/外科学 ; 回顾性研究 ; intestional neoplasms/diagnosis ; small intestine ; intestional neoplasms/surgery ; retrospective studies

PublicationName

中華腫瘤防治雜誌

Volume or Term/Year and Month of Publication

12卷13期(2005 / 07 / 14)

Page #

1020 - 1022

Content Language

簡體中文

Chinese Abstract

探讨小肠肿瘤的临床表现特点及诊治方法,回顾性分析48例小肠肿瘤惠者的临床资料。小肠肿瘤多表现为腹痛、腹块、黑便、腹胀、恶心、呕吐。平滑肌肉瘤中有63.2%(12/19)位于空肠,腺癌75.0%(12/16)位于十二指肠,淋巴瘤66.7%(4/6)位于回肠。54.2%(26/48)的小肠肿瘤位于十二指肠及屈氏韧带以下20cm的空肠。多发性小肠肿瘤为8.3%(4/48)。术后复发的占10.4%(5/48)。根治性切除占70.8%(34/48),姑息性手术占25.0%(12/48),探查活检术占4.2%(2/48)。对腹痛、腹部肿块、黑便患者如已排除胃结肠病变应高度怀疑小肠肿瘤,特别是平滑肌肉瘤的可能性。小肠肿瘤常多发,术后易复发。根治性切除术是治疗小肠肿瘤最有效的方法。

English Abstract

The objective of this study was to investigate the clinical characteristics of small intestinal tumor. The clinicopathological features of 48 cases of small intestinal tumor were analysed respectively from May 15, 1980 to August 15, 2000. The common complains were abdominal pain, mass, distension, melena, nausea and vomitting. For the location, 63.2%(12/19) of leiomyosarcoma located in jejunum, 75%(12/16) of adenocarcinoma in duodenum, 66.7%(4/6) of lymphoma in ileum. The majority (54.2%, 26/48) of all the small intestine tumors located in the duodenum and proximal 20 centimeters jejunum. Recurrence rate was 10.4%(5/48). Multiple-site tumor occurrence rate was 8.3%(4/48). Radical excision was carried out on 70.8%(34/48) of cases, palliative and exploratory operation were perfermed on 25.0%(12/48) and 4.2%(2/48) of cases, respectively. Abdominal pain, mass and melena indicated small intestine tumor, especially leiomyosarcoma. In conclusion, multiple-site occurrence and recurrence are the characteristics of small intestine tumor. The best treatment measure is radical excision.

Topic Category 醫藥衛生 > 內科