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目的 总结原发性小肠肿瘤的临床特点 ,分析其误诊原因 ,并探讨提高诊断率的措施。方法 对该院近 2 7年中 95例经手术病理确诊的原发性小肠肿瘤进行回顾性分析。结果 95例中有 75例分别被误诊为消化性溃疡并出血、肠梗阻、腹块原因待查等 2 1种疾病 ,误诊率高达 78 9%。结论 本病少见 ,临床表现多变而无特异性 ,极易误诊。只有提高对本病认识 ,熟悉其临床表现 ,并合理运用X线、内镜、选择性血管造影等检查方可避免误诊 ,提高正确诊断率。
Objective To summarize the clinical features of primary small intestine tumor, analyze the causes of misdiagnosis, and discuss the measures to improve the diagnosis rate. Methods A retrospective analysis was performed on 95 cases of pathologically confirmed primary small intestinal tumors in the hospital in the past 27 years. Results Of the 95 cases, 75 cases were misdiagnosed as peptic ulcer and bleeding, intestinal obstruction, abdominal diseases to be investigated such as 21 kinds of diseases, the misdiagnosis rate as high as 78.9%. Conclusion The rare disease, clinical manifestations of change without specificity, easily misdiagnosed. Only to improve understanding of the disease, familiar with its clinical manifestations, and the rational use of X-ray, endoscopic, selective angiography and other tests to avoid misdiagnosis and improve the correct diagnosis rate.