CAJ | 학술논문

目的对原发性小肠肿瘤进行临床及病理分析,旨在提高对该类疾病的认识,改善小肠肿瘤患者的预后.方法收集上海瑞金医院2003年1月至2009年6月收治并经手术治疗及病理确诊的121例原发性小肠肿瘤患者的临床和病理资料进行回顾性分析,并进行随访.结果消化道出血、贫血和腹痛是原发性小肠肿瘤患者的3个主要临床症状.消化道内镜、多排CT等检查方法对发现小肠肿瘤均有一定价值,多种方法结合可以提高小肠肿瘤的诊断率.与常规手术方式相比较,腹腔镜辅助下的小肠肿瘤切除术可以缩短术后平均住院天数.结论小肠肿瘤的诊断常需要多种方法结合,手术治疗是小肠肿瘤患者治疗的首选方式,术后长期随访对发现小肠肿瘤患者并发或继发的其他胃肠道肿瘤及改善患者预后有重要意义.
목적 대원발성소장종류진행림상급병리분석,지재제고대해류질병적인식,개선소장종류환자적예후.방법 수집상해서금의원2003년1월지2009년6월수치병경수술치료급병리학진적121례원발성소장종류환자적림상화병리자료진행회고성분석,병진행수방.결과 소화도출혈、빈혈화복통시원발성소장종류환자적3개주요림상증상.소화도내경、다배CT등검사방법대발현소장종류균유일정개치,다충방법결합가이제고소장종류적진단솔.여상규수술방식상비교,복강경보조하적소장종류절제술가이축단술후평균주원천수.결론 소장종류적진단상수요다충방법결합,수술치료시소장종류환자치료적수선방식,술후장기수방대발현소장종류환자병발혹계발적기타위장도종류급개선환자예후유중요의의.
Objective By analyzing the clinical and pathological characteristics of small intestinal neoplasms of patients presenting at our hospital,this study was to improve our cognition of this disease and the prognosis.Methods We collected and reviewed the medical records of 121 patients suffering from small intestinal neoplasms,who underwent surgery at Ruijin hospital from January 2003 to June 2009.Diagnosis was confirmed by pathological examination,and patients were followed-up.Results Intestinal hemorrhage,anemia and abdominal pain were the three main symptoms for all patients.CT,and gastrointestinal endoscopy were valuable for the diagnosis of small intestine neoplasms.Compared with open surgery,laparoscopic procedures can shorten the operation time and the postoperative length of hospital stay.Conclusions Surgical procedure is the key treatment for patients with small intestinal neoplasms.Long term follow-up plays important role in the detection of other synchronous or metachronous gastrointestinal tumors and improves the prognosis.