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1、双气囊小肠镜确诊原发小肠肿瘤临床病理分析【摘要】目的探□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
2、的78.1%0十二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HR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【关键词】双气囊小肠镜；原发小肠肿瘤；临床病理特DOI:10.14163/j.cnki.11-5547/r.2O16.33.010Clinicopathologicanalysisofdoubleballoonendoscopy-diagnosedprimarysmallintestinaltumorLILi
3、arrjie,YINHe-kun,LIQi-xiang.DepartmentofGastroenterology,GuangdongJiangmenCityCentralHospital,Jiangmen529030,China[Abstract】ObjectiveToinvestigateclinicopathologiccharacteristicsofdoubleballoonendoscopy(DBE)-diagnosedprimarysmallintestinaltumor,andtoevaluatediagnosticvalueofDBEforprimarysm
4、allintestinaltumor.MethodsAretrospectiveanalysiswasmadeonclinicopathologicdataofpatientswithDBE-diagnosedprimarysmallintestinaltumor.ResultsAmong33DBE-diagnosedprimarysmallintestinaltumorcases,therewere32casesdiagnosedbypathology,anddiagnosisaccuracyofDBEwas96.97%(32/33).Therewere12caseswi
5、thsmallintestinalstromaltumor,accountingfor37.5%(12/32),8caseswithsmallintestinaladenocarcinoma,accountingfor25.0%(8/32),5caseswithsmallintestinallymphoma,accountingfor15.6%(5/32),2caseswithsmallintestinaltubularadenoma,accountingfor6.3%(2/32),2caseswithlipomyoma,accountingfor6.3%(2/32),2c
6、aseswithhamartoma,accountingfor6.3%(2/32),and1casewithsmallintestinallymphangioma,accountingfor3.1%(1/32).Malignanttumorsaccountedfor78.1%inprimarysmallintestinaltumor,withduodenumhorizontalsegmentandjejunumsegmentmalignanttumorsheldthelargestproportion.Mainsymptomsofmalignantsmallintestin
7、altumorsineludedabdominalpain,melenaandemaciation.Therewerenocomplicationsin33casesshownbyDBEexamination.ConelusionPrimarysmallintestinaltumormainlyincludesmalignanttumors,especiallyinduodenumhorizontalsegmentandjejunumuppersegment,alongwithabdominalpain,melen
