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目的探讨小肠肿瘤致消化道出血的诊断与治疗方法。方法回顾分析16例小肠肿瘤致消化道出血病人的术前术中诊断及处理情况。结果全部病人行剖腹探查,术前确诊2例,10例行急诊手术;良性肿瘤9例,恶性肿瘤7例;随访12例,良性者未见复发,恶性者3例术后二年死亡。结论小肠肿瘤致消化道出血的诊断,常规X线和内镜检查阳性率较低,选择性肠系膜血管造影阳性率较高;对可疑病人应不失时机的进行剖腹探查,在手术中各种方法均未发现肿块而盲目切除肠段应慎重。对确诊病例应立即手术治疗。
Objective To investigate the diagnosis and treatment of gastrointestinal bleeding caused by small intestine tumor. Methods A retrospective analysis of 16 cases of intestinal tumor caused by gastrointestinal bleeding in patients with preoperative diagnosis and treatment. Results All patients underwent exploratory laparotomy. Two patients were diagnosed preoperatively and 10 patients underwent emergency surgery. Nine patients had benign tumors and seven had malignant tumors. Twelve patients were followed up, and none of the benign patients had any recurrence. Three cases of malignant patients died two years after operation. Conclusions The diagnosis of gastrointestinal bleeding caused by small intestine tumor is low, the positive rate of routine X-ray and endoscopy is low, and the positive rate of selective mesenteric angiography is high. Suspicious patients should be given laparotomic exploration without losing any chance, and none of the methods in operation Found mass and blind removal of bowel should be careful. The diagnosis of cases should be immediately surgical treatment.