中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2013年
21期
54-55
,共2页
小肠肿瘤%空回肠%早期诊断
小腸腫瘤%空迴腸%早期診斷
소장종류%공회장%조기진단
Small Intestinal Tumor%Jejunum and ileum%Early diagnosis
目的总结原发性小肠(空、回肠)肿瘤的临床特点及诊疗经验。方法对1999年至2012年收治的经手术治疗、病理确诊的41例原发性空、回肠肿瘤进行回顾性分析。结果本组病例良性11例、恶性30例,发生在空肠16例,回肠25例。主要临床表现为腹痛、腹部包块、消化道出血、肠梗阻等,术前确诊率低,但近来有所提高,CT、胶囊内镜、小肠镜检查、PET-CT等对小肠肿瘤诊断有意义。结论小肠肿瘤无特异性临床特征。CT、PET-CT、胶囊内镜、小肠镜检查有助于早期诊断。
目的總結原髮性小腸(空、迴腸)腫瘤的臨床特點及診療經驗。方法對1999年至2012年收治的經手術治療、病理確診的41例原髮性空、迴腸腫瘤進行迴顧性分析。結果本組病例良性11例、噁性30例,髮生在空腸16例,迴腸25例。主要臨床錶現為腹痛、腹部包塊、消化道齣血、腸梗阻等,術前確診率低,但近來有所提高,CT、膠囊內鏡、小腸鏡檢查、PET-CT等對小腸腫瘤診斷有意義。結論小腸腫瘤無特異性臨床特徵。CT、PET-CT、膠囊內鏡、小腸鏡檢查有助于早期診斷。
목적총결원발성소장(공、회장)종류적림상특점급진료경험。방법대1999년지2012년수치적경수술치료、병리학진적41례원발성공、회장종류진행회고성분석。결과본조병례량성11례、악성30례,발생재공장16례,회장25례。주요림상표현위복통、복부포괴、소화도출혈、장경조등,술전학진솔저,단근래유소제고,CT、효낭내경、소장경검사、PET-CT등대소장종류진단유의의。결론소장종류무특이성림상특정。CT、PET-CT、효낭내경、소장경검사유조우조기진단。
Objective To summarize the clinical characteristics and the diagnosis and treatment experience of the primary small intestinal tumor(jejunum and ileum). Methods To do retrospective analysis of 41 cases of primary small intestinal tumor with surgery and pathological diagnosis during the year 1999 to 2012. Result The group include 11 benign cases and 30 malignant case. Among all the cases, 16 occured in the jejunum while 25 occured in the ileum. The main clinical manifestations are abdominal pain, abdominal mass, gastrointestinal bleeding and intestinal obstruction. Preoperative diagnosis is diffcult, however, the situation has been improved lately. CT, endoscopy, enteroscopy and PET-CT help to diagnose the small intestinal tumor. Conclusion Small intestinal tumor has no speciifc clinical features, but CT, endoscopy, enteroscopy and PET-CT are helpful in the early diagnosis.