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目的 探讨十二指肠腺瘤并大出血的诊断和治疗。方法 对 2例十二指肠腺瘤并大出血患者进行回顾性分析 ,并结合文献进行讨论。结果 2例术前均行X线气钡双重造影、胃镜及肿块活检 ,但未确诊。 2例均行十二指肠切开、肿瘤切除术而痊愈。结论 十二指肠腺瘤早期多无临床症状 ,随着肿瘤的增大可并发肠梗阻或肿瘤溃疡出血而出现相应症状 ;X线钡餐和胃镜可发现肿瘤 ,但难于确诊 ,经内窥镜或十二指肠切开、肿瘤切除术是治疗本病的常用方法。
Objective To investigate the diagnosis and treatment of duodenal adenoma with major hemorrhage. Methods Two cases of duodenal adenoma with major hemorrhage were retrospectively analyzed and discussed in the literature. Results Two cases underwent preoperative X-ray double-barium gastroscopy, endoscopy and mass biopsy, but not diagnosed. 2 cases were performed duodenal incision, tumor resection and heal. Conclusions Early duodenal adenoma no clinical symptoms, with the increase of tumor can be complicated by intestinal obstruction or tumor ulcer bleeding and the corresponding symptoms; X-ray barium meal and gastroscopy can be found in the tumor, but difficult to diagnose, by endoscopy or Duodenal incision, tumor resection is the common method of treatment of the disease.