摘要
目的探讨原发性小肠肿瘤临床特型、病理分型及诊治经验。方法回顾性分析1993年10月～2003年10月收治的有完整资料的58例原发性小肠肿瘤病例。结果本组包括13例(22.4%)良性肿瘤,45例(77.6%)。小肠良性肿瘤均行局部肠段切除,除2例死于其它疾患外,余11例健在;小肠恶性肿瘤患者中,院内死亡6例,仅11例能行根治性肠切除,37例行化疗(总有效率83.4%),随访33例(随访率89.5%),存活5年以上者14例(5年生存率42.4%),多为T细胞性非何杰金淋巴瘤。结论原发性小肠肿瘤恶性所占比例较高,缺乏特征性的临床表现及有效的诊断手段,易致长期延误诊治,预后甚差;对原因不明的腹痛、消化道出血及定位不明的腹部包块患者及早行剖腹探查是避免小肠肿瘤长期误诊、改善患者预后的可靠手段。
Objective To investigate the pathological typing,clinical feature and experience in the diagnosis and treatment of primary tumors of small intestine.Methods From Oct.1993 to Oct.2003,58 patients with primary tumors of small intestine were analyzed retrospectively.Results In this group,13 patient(22 4%)had primary benign tumors of small intestine and 45 patient(77 6%)had primary malignant tumors of small intestine.Local segmental resection of small intestine was performed in all primary benign tumors of small intestine and except for 2 cases died from other reasons,11 cases were still alive.6 cases of primary malignant tumors of small intestine died during hospitalization.Radical resection of small bowel could be performed only in 11 cases with malignant tumors.Chemotherapy was given in 37 cases(total effective rate was 83.4%). Follow up was done in 33 cases(follow up rate were 89.5%).14 cases were alive more than 5 years(5 years survival rate 42.4%),and most of them were T cell type non Hodgkin lymphoma.Conclusion Primary tumors of small intestine have no special clinical manifestation and effective examining methods.So it is very difficult to make early diagnosis and it′s prognosis is very poor.When the status of the abdominal pain and gastro intestinal bleeding of unkown cause and abdominal mass of unkown location,early exploratory laparotomy would be performed to avoid a long term missed diagnosis of intestinal tumor and it is a reliable measure for improving the patient′s prognosis.
出处
《岭南现代临床外科》
2004年第2期110-112,共3页
Lingnan Modern Clinics in Surgery
