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目的 :探讨原发性十二指肠肿瘤的临床特点、诊断方法、预后 ,为早期诊、治该病提供依据。方法 :对 2 0年来 49例原发性十二指肠肿瘤住院病人进行回顾性分析。结果 :49例原发性十二指肠肿瘤占全院同期住院病人的0 .0 13 %。 33例恶性肿瘤占整个消化肿瘤病人的 0 .37%。恶性肿瘤以腺癌多见。临床表现以出血、腹痛、腹部包块、消瘦为主。检查方法以内镜结合病理组织检查、X线胃肠造影为主。恶性肿瘤手术时大多有局部器官或组织浸润及局部淋巴结转移。结论 :原发性十二指肠癌预后差 ,3种检查方法结合起来 ,可提高诊断率
Objective: To investigate the clinical features, diagnosis methods and prognosis of primary duodenal tumors, and provide basis for early diagnosis and treatment of the disease. Methods : Retrospective analysis of 49 patients with primary duodenal tumors in 20 years. Results: Forty-nine primary duodenal tumors accounted for 0.013% of hospitalized patients in the same period. Thirty-three malignant tumors accounted for 0.37% of all patients with digestive tumors. Adenocarcinoma is more common in malignant tumors. The clinical manifestations were mainly bleeding, abdominal pain, abdominal mass, and weight loss. Endoscopic examination combined with pathological examination, X-ray gastrointestinal angiography. Most malignant tumors have local organ or tissue infiltration and local lymph node metastasis. Conclusion: The prognosis of primary duodenal cancer is poor, and the combination of three methods can improve the diagnostic rate.