摘要
目的研究原发性小肠肿瘤的临床特点以及病理特征。方法纳入2015年1月—2016年1月这个时间段中入住我院的原发性小肠肿瘤患者总计80例,查阅并记录我院内与研究选取患者相关的各项资料,综合分析原发性小肠肿瘤的临床特点以及病理特征。结果研究选取患者中肿瘤位于十二指肠的患者有47例、肿瘤位于空肠的患者有23例、肿瘤位于回肠的患者有10例,术前诊断结果与病理检查结果相符的患者有76例,占据总选取患者的95.00%。按照病理类型可以将其分为腺癌患者42例、间质瘤患者24例、其他类型患者14例。结合患者的病情制定具有针对性的治疗方案,其中1例患者拒绝接受手术治疗,治疗结束后1年内生存患者64例、3年内生存患者32例,分别占据总选取患者的80.00%、40.00%。结论腺癌是最为常见的原发性小肠肿瘤,临床上应当加以重视,联合多种检查方法对患者进行病情诊断以提高诊断准确性,从而为后期治疗工作的开展提供有效的指导,提高患者的生存质量。
Objective To study the clinical and pathological characteristics of primary small intestinal tumors.Methods A total of 80 cases of patients with primary small intestinal tumors admitted to our hospital from January 2015 to January 2016 were included.All materials related to the selected patients in our hospital were reviewed and recorded.The clinical characteristics and pathological characteristics of primary small intestinal tumors were comprehensively analyzed.Results among the selected patients,there were 47 patients with tumor located in duodenum,23 patients with tumor located in jejunum,10 patients with tumor located in ileum,76 patients with preoperative diagnosis consistent with pathological examination results,accounting for 95.00%of the total selected patients.According to pathological types,it can be divided into 42 patients with adenocarcinoma,24 patients with stromal tumor and 14 patients with other types.A targeted treatment plan was developed based on the patient's condition,in which 1 patient refused to receive surgical treatment,64 patients survived within one year after the treatment,and 32 patients survived within three years,accounting for 80.00%and 40.00%of the total selected patients respectively.Conclusion Adenocarcinoma is the most common primary small intestinal tumor,which should be paid more attention to in clinical practice.A variety of examination methods should be combined to diagnose the condition of patients to improve the diagnostic accuracy,so as to provide effective guidance for the later treatment and improve the quality of life of patients.
作者
李峰
LI Feng(Department of Pathology,Xiaogan Central Hospital,Xiaogan Hubei 432100,China)
出处
《中国继续医学教育》
2020年第1期92-94,共3页
China Continuing Medical Education
关键词
原发性
小肠肿瘤
临床诊断
外科手术
临床特点
病理特征
primary
intestinal neoplasms
clinical diagnosis
surgery
clinical features
the pathological features
