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目的探讨原发性空、回肠癌的临床特点及诊治,分析其主要预后因素。方法回顾性分析401医院2000年1月—2008年1月收治的14例空、回肠癌患者的临床特点、病理及术后随访资料。结果空、回肠癌男女均可发病,全组男∶女为1∶6;临床以腹痛、腹胀、便血、贫血、腹部包块及肠梗阻等症状为其主要表现。全组空肠癌9例,回肠癌5例,13例行癌肿切除术,其中5例行术后化疗2～6个周期,1例伴肝转移并腹水,仅行活检术并术后支持治疗。全组术前诊断率低于50%,术后3年生存率为50.0%;肿瘤分化程度越高、淋巴转移越少、距屈氏韧带越远,其术后生存率越高,反之则越低。结论空、回肠癌的术前诊断困难,需要B超,CT,内镜等辅助检查,手术切除仍是其主要治疗手段,肿瘤切除术后生存率高。
Objective To investigate the clinical features, diagnosis and treatment of primary empty and rectal cancer and analyze its main prognostic factors. Methods The clinical features, pathology and postoperative follow-up data of 14 patients with empty and rectal cancer admitted to the 401 Hospital from January 2000 to January 2008 were retrospectively analyzed. The results of empty, ileal cancer can be the incidence of both men and women, the whole group of men: women 1: 6; clinical abdominal pain, abdominal distension, blood in the stool, anemia, abdominal mass and intestinal obstruction and other symptoms as its main performance. The whole group of jejunal cancer in 9 cases, 5 cases of ileum, 13 cases of cancer resection, of which 5 cases of postoperative chemotherapy for 2 to 6 cycles, 1 case of liver metastasis and ascites, only biopsy and postoperative supportive treatment . The preoperative diagnosis rate of the whole group was less than 50%, and the 3-year survival rate was 50.0%. The higher the degree of tumor differentiation was, the less lymphatic metastasis and the farther the distance from the ligaments were. The higher the postoperative survival rate was, and vice versa low. Conclusions The diagnosis of empty and ileal cancer is difficult. It needs B-ultrasound, CT, endoscopy and other auxiliary examinations. Surgical resection is still the main treatment and the survival rate after tumor resection is high.