CAJ | 학술논문

目的探讨小肠恶性肿瘤的临床病理特点及外科治疗结果,以提高外科诊疗水平.方法回顾性分析122 例小肠肿瘤的临床资料及随访结果.结果本组小肠恶性肿瘤122例中男81 例,女41例,平均年龄53.5岁.病灶位于十二指肠31例(25.4%),空肠37例(30.3%),回肠54例(44.3%).总的术前诊断率为27.9%,包括十二指肠肿瘤术前诊断率为87.1%,空肠肿瘤为5.4%,回肠肿瘤为13.5%.本组行胰十二指肠切除31例,右半结肠根治性切除13例,小肠部分切除70例,旁路手术3例及活检术5例.本组1、3及5年生存率分别为75%、40%及21%.结论手术切除是治疗小肠恶性肿瘤的主要手段,而早期诊断是提高疗效的关键.
목적 탐토소장악성종류적림상병리특점급외과치료결과,이제고외과진료수평.방법 회고성분석122 례소장종류적림상자료급수방결과.결과 본조소장악성종류122례중남81 례,녀41례,평균년령53.5세.병조위우십이지장31례(25.4%),공장37례(30.3%),회장54례(44.3%).총적술전진단솔위27.9%,포괄십이지장종류술전진단솔위87.1%,공장종류위5.4%,회장종류위13.5%.본조행이십이지장절제31례,우반결장근치성절제13례,소장부분절제70례,방로수술3례급활검술5례.본조1、3급5년생존솔분별위75%、40%급21%.결론 수술절제시치료소장악성종류적주요수단,이조기진단시제고료효적관건.
Objective To explore the clinicopathological characters and surgical outcome of primary malignant small intestine tumor and to improve the level of diagnosis and therapy. Methods The clinical data and follow-up of 122 patients with primary malignant small bowel tumor were analyzed retrospectively.Results One hundred and twenty-two patients with primary malignant small bowel tumor were studied, Among them 81 were male and 41 were female, with a male to female ratio of 2.0:1, and the mean age was 53.5 years. Tumors located at the duodenum were noted in 31 patients, at the jejunum in 37 patients, and at the ileum in 54 patients, The rate of preoperative diagnosis rate was 27.9%, including a diagnosis rate of 87.1% for duodenal tumor, 5.4% for jejumal tumor, and 13.5% for ileum tumor. The surgical procedures included pancreaticoduodenectomy in 31 patients, radical right hemicolectomy in 13 patients, and segmental bowel resection in 70 patients, bypass operation in 3 patients, laparotomy and biopsy in 5 patients. The 1-, 3-, and 5-year survival rates in this group were 75%, 40% and 21%, respectively. Conclusions Surgical treatment is the principal therapy of primary malignant bowel tumor, and early diagnosis is essential to the improvement of therapeutic effect.