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目的探讨原发性小肠肿瘤的类型、临床表现、诊断治疗方法及预后。方法回顾性分析39例南方医科大学附属珠江医院自2002-2009年原发性小肠肿瘤的临床和病理资料。结果小肠良性肿瘤8例,其中平滑肌瘤3例,占37.5%。小肠恶性肿瘤31例,其中间质细胞肉瘤13例,占41.9%;其次为腺癌15例,占35.7%。全消化道造影12例,阳性7例;行胶囊内镜者23例,阳性18例;CT检查18例,阳性15例。结论应综合利用纤维胃十二指肠镜、CT、选择性动脉造影和胶囊内镜等检查手段,以提高小肠肿瘤的诊断率。
Objective To investigate the type, clinical manifestations, diagnosis and treatment of primary small intestinal tumor and its prognosis. Methods The clinical and pathological data of 39 cases of primary small intestinal tumors from 2009 to 2009 in Zhujiang Hospital, Southern Medical University were retrospectively analyzed. Results Small bowel benign tumors in 8 cases, including leiomyoma in 3 cases, accounting for 37.5%. There were 31 cases of small intestine malignant tumors, including 13 cases of stromal cell sarcoma, accounting for 41.9%; followed by adenocarcinoma in 15 cases, accounting for 35.7%. Total gastrointestinal angiography in 12 cases, positive in 7 cases; line capsule endoscopy in 23 cases, 18 cases were positive; CT examination in 18 cases, 15 cases were positive. Conclusion We should make comprehensive use of fiber gastroenteroscopy, CT, selective arteriography and capsule endoscopy to improve the diagnostic rate of small intestine tumors.