摘要
目的探讨双气囊小肠镜(DBE)确诊的原发小肠肿瘤的临床病理特点,评价DBE对原发小肠肿瘤的诊断价值。方法对DBE确诊的原发小肠肿瘤患者的临床病理资料进行回顾性研究。结果 DBE诊断原发小肠肿瘤33例,32例病理确诊为原发小肠肿瘤,DBE诊断准确率达96.97%(32/33)。小肠间质瘤12例,占比37.5%(12/32);小肠腺癌8例,占比25.0%(8/32);小肠淋巴瘤5例,占比15.6%(5/32);小肠管状腺瘤、脂肪瘤、错构瘤各2例,占比6.3%(2/32);小肠淋巴管瘤1例,占比3.1%(1/32)。恶性肿瘤占原发小肠肿瘤的78.1%。十二指肠水平段及空肠段恶性肿瘤最多。腹痛、黑便、消瘦是小肠恶性肿瘤患者主要症状。33例DBE检查未发生并发症。结论原发小肠肿瘤以恶性肿瘤为主,高发于十二指肠水平段至空肠上段,常见症状为腹痛、消瘦、黑便。DBE在诊断原发小肠肿瘤方面具有高准确性及高安全性。
Objective To investigate clinicopathologic characteristics of double balloon endoscopy（DBE）-diagnosed primary small intestinal tumor, and to evaluate diagnostic value of DBE for primary small intestinal tumor. Methods A retrospective analysis was made on clinicopathologic data of patients with DBEdiagnosed primary small intestinal tumor. Results Among 33 DBE-diagnosed primary small intestinal tumor cases, there were 32 cases diagnosed by pathology, and diagnosis accuracy of DBE was 96.97%（32/33）. There were 12 cases with small intestinal stromal tumor, accounting for 37.5%（12/32）, 8 cases with small intestinal adenocarcinoma, accounting for 25.0%（8/32）, 5 cases with small intestinal lymphoma, accounting for 15.6%（5/32）, 2 cases with small intestinal tubular adenoma, accounting for 6.3%（2/32）, 2 cases with lipomyoma, accounting for 6.3%（2/32）, 2 cases with hamartoma, accounting for 6.3%（2/32）, and 1 case with small intestinal lymphangioma, accounting for 3.1%（1/32）. Malignant tumors accounted for 78.1% in primary small intestinal tumor, with duodenum horizontal segment and jejunum segment malignant tumors held the largest proportion. Main symptoms of malignant small intestinal tumors included abdominal pain, melena and emaciation. There were no complications in 33 cases shown by DBE examination. Conclusion Primary small intestinal tumor mainly includes malignant tumors, especially in duodenum horizontal segment and jejunum upper segment, along with abdominal pain, melena and emaciation as common symptoms. DBE contains high accuracy and safety in diagnosis of primary small intestinal tumor.
出处
《中国实用医药》
2016年第33期23-25,共3页
China Practical Medicine
关键词
双气囊小肠镜
原发小肠肿瘤
临床病理特点
Double balloon endoscopy
Primary small intestinal tumor
Clinicopathologic characteristics
