中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2011年
14期
1898-1899
,共2页
胃肠肿瘤%病理学%诊断%治疗结果
胃腸腫瘤%病理學%診斷%治療結果
위장종류%병이학%진단%치료결과
Gastrointestinal neoplasms%Pathology%Diagnosis%Treatment outcome
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)(x2=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%)(x2=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%)](x2=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.
目的 探討原髮性小腸腫瘤的臨床特點、診斷及治療方法.方法 迴顧分析60例原髮性小腸腫瘤從腫瘤的髮病部位、病理、臨床錶現、診斷及治療.結果 術前經內窺鏡、X線、B超及CT等檢查,術前確診率(25.0%,15/60)明顯低于術後確診率(75.0%,45/60)(x2=9.145,P＜0.01);好髮部位:十二指腸20例(33.3%),空腸13例(21.6%),迴腸27例(45.5%);60例均經手術證實診斷,良性腫瘤18例(30.0%),明顯低于噁性腫瘤的42例(70.0%)(x2=8.215,P＜0.01);腺癌22例(36.0%),明顯高于其它性質腫瘤[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%)](x2=3.89、8.89、9.152、9.162、10.23、9.012、8.999、9.042、9.111,均P＜0.05);良性腫瘤行跼部腸壁或腸段切除,噁性腫瘤行根治性切除.結論 原髮性小腸腫瘤的臨床錶現缺乏特異性,手術切除是主要的治療手段.
목적 탐토원발성소장종류적림상특점、진단급치료방법.방법 회고분석60례원발성소장종류종종류적발병부위、병리、림상표현、진단급치료.결과 술전경내규경、X선、B초급CT등검사,술전학진솔(25.0%,15/60)명현저우술후학진솔(75.0%,45/60)(x2=9.145,P＜0.01);호발부위:십이지장20례(33.3%),공장13례(21.6%),회장27례(45.5%);60례균경수술증실진단,량성종류18례(30.0%),명현저우악성종류적42례(70.0%)(x2=8.215,P＜0.01);선암22례(36.0%),명현고우기타성질종류[15례(25.0%)、5례(8.3%)、2례(3.3%)、2례(3.3%)、1례(1.6%)、3례(3.3%)、4례(6.6%)、3례(3.3%)、3례(3.3%)](x2=3.89、8.89、9.152、9.162、10.23、9.012、8.999、9.042、9.111,균P＜0.05);량성종류행국부장벽혹장단절제,악성종류행근치성절제.결론 원발성소장종류적림상표현결핍특이성,수술절제시주요적치료수단.
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.
