原发性小肠肿瘤的诊断与治疗(附40例报告) Diagnosis and Treatment of Small Bowel Tumor (A Report of 40 Cases)

目的：探讨原发性小肠肿瘤的临床特点、误诊原因及诊断方法。方法：回顾性分析了40例原发性小肠肿瘤的临床资料。结果：术前只确诊13例，其余均误诊，误诊率达67.5%。本组均手术治疗，良性肿瘤均行肿瘤及局部肠管切除，共10例，恶性肿瘤行根治性切除24例，姑息性切除3例，捷径手术3例，术后近期死亡1例，余均出院。结论：本病少见，容易误诊，要引起足够的重视。上消化道内镜检查，X线钡餐检查，BUS及CT检查是诊断本病的主要方法。 Objective: To explore the clinical characteristics, cause of misdiagnosis and diagnosis methods of primary small intestinal tumor. Methods: Retrospective analyses of the clinical data were made on 40 cases of primary small bowel tumors. Results: Before operation, 13 cases were given confirmed diagnosis of small intestinal tumor. The rate of misdiagnosis is 67.5%. Partial excisions were administered in 10 cases with benign small intestinal tumor. Radical excisions were performed in 24 cases with malignant tumors. Palliative excision in 3 cases and shortcut operation in 3 cases. A patient died after operation and other 39 were discharged from hospital. Conclusions: This disease is rare and easy to misdiagnose, and we need to take it seriously. Fiber endoscopy, X-ray, barium meal, BUS and CT were the main methods of diagnosis.