【摘要】 目的 探讨原发性小肠肿瘤的临床特点和诊查方法。方法 回顾性分析60例原发性小肠肿瘤的临床资料、发病特点及术前诊查方法。结果 小肠肿瘤临床表现不特异，确诊时长达1周～32个月，平均6个月。术前确诊率低(31.7%)。检查方法中胃肠造影和CT的使用相对较多，受检阳性率分别为54.2%(26/48)和81.3%(26/32)。小肠肿瘤恶性居多，占53.8%(21/39)。结论 原发性小肠肿瘤表现隐匿，容易误诊，常规检查手段特异性不高，胃肠造影和CT确诊率相对较高，新的检查方法有待开发。

    【关键词】 小肠；肿瘤；诊断；治疗

    Clinicopathologic analysis of primary small intestinal neoplasm in 60 cases

    SHE Zhan-fei,YANG Xiu-feng,YANG Zhe.

    Department of Surgery,Central Hospital of Erduosi, Inner Mongolia Autonomous Region 017000,China

    【Abstract】 Objective To explore the clinical characteristics and diagnosis of the small intestinal neoplasm.Methods Retrospective analysis of manifestation and pathological data and diagnosis method of the 60 small intestinal neoplasm cases was made.Results In this group, the manifestation of the small intestinal neoplasm was varied. It spend long time to diagnose the small intestinal neoplasm definitely, about 1week to 32 months, average 6 months. The preoperative diagnostic rate was 31.7%. CT scanning and the barium meal of total alimentary canal was higher, about 44.1%and 8 1.3%. 53.6% of patients were malignant tumors.Conclusion Small intestinal neoplasm is difficult to be diagnosed preoperatively. CT scanning and the barium meal of total alimentary canal were more trustworthy method. The more effective diagnosis method of the small intestinal neoplasm was anticipated. ......