CAJ | 학술논문

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40例原发性小肠肿瘤患者的临床资料.结果术前确诊13例,其余均误诊,误诊率达67.5％(27/40).40例均手术治疗,10例良性肿瘤均行肿瘤及局部肠管切除,恶性肿瘤行根治性切除24例,姑息性切除3例,捷径手术3例.术后近期死亡1例,余均出院.结论原发性小肠肿瘤少见,容易误诊,要引起足够的重视.上消化道内镜检查、X线钡餐检查、超声及CT检查是诊断本病的主要方法.
목적 탐토원발성소장종류적림상특점、오진원인급진단방법.방법 회고성분석40례원발성소장종류환자적림상자료.결과 술전학진13례,기여균오진,오진솔체67.5％(27/40).40례균수술치료,10례량성종류균행종류급국부장관절제,악성종류행근치성절제24례,고식성절제3례,첩경수술3례.술후근기사망1례,여균출원.결론 원발성소장종류소견,용역오진,요인기족구적중시.상소화도내경검사、X선패찬검사、초성급CT검사시진단본병적주요방법.
Objective To explore the clinical characteristics,misdiagnosis reason,diagnosis and treatment of primany small intestinal tumor.Methoed Retrospective analysis of the clinical data were made on 40 cases of primary small intestinal tumors.Results Before operation,13 cases were given confirmed diagnosis of small intestinal tumor.The rate of misdiagnosis was 67.5％ (27/40).Partial excision were administered in 10 cases with benign small intestinal tumor.Adical excaision were performed in 24 cases with malignant tumors,palliative excision in 3 cases and shortcut operation in 3 cases.One patient died after opreation.Conclusions Before operation,the misdiagnostic rate of primary small intestinal tumor is high.Fiber endoscopy and X-ray may bring a high diagnostic rate of small intestinal tumor.