原發(fā)性十二指腸惡性腫瘤53例臨床分析及原發(fā)性十二指腸腫瘤研究進展.pdf

1、浙江大學碩士學位論文原發(fā)性十二指腸惡性腫瘤53例臨床分析及原發(fā)性十二指腸腫瘤研究進展姓名：俞瑩瑩申請學位級別：碩士專業(yè)：內(nèi)科學（消化系?。┲笇Ы處煟簠乔趧?0050401塑蘭查蘭堡圭竺堅竺蘭竺笙蘭Analysisof53casesofprimarymalignantTumoroftheduodenum2002GraduateSupervisorDepartmentMedicaIZhej『iangYuYingyingWuQingdongG

2、astroenterologyCollegeUniversityABSTRACTTostudytheclinicalmanifestationanddiseasedregionandpathologicaltypeofthepdmarymalignanttumoroftheduodenum，Otherwisehowtoselecttheauxiliaryexaminationandsomemisdiagnosiscaseswereals

3、odescribedinthisarticleThedataof53casesoftheduodenumduringJanuary1998tetrospectivelyprimarymalignanttumoroftheDecember2004wereanalyzedResul協(xié)ClinicaImanifestationwasnonspecificityTheycanbeabdominalpain，abdominaIdistention

4、，iaundice，bowelobstructionorbleedingTheaverageinternaIf∞monsettobediagnosedwas35monthsThetumorwaspredilectionjnthedescendingpartoftheduodenum，45cases。while4inbulbarzone4inthehorizontaIpartandnoneintheascendingpartThemain

5、pathologiceItypeisadenocarcinoma905％CorrectdiagnosisratesofjmageexaminationwereEPCP95％，GI92％。gastroscope80％，CT76％andUltrasound59％WeshouldbindtheseauxUiaryexaminationsexactlytaisethediagnostic哺teConclusionsEarlydiagnosisi

6、sthekeypointtoincreasethesurvivalrateofthePMTD，SoweshouldvigilantsomeclinicalmanifestationthatcouldnotbeexplainbythenormaldiseaseandusemultipleauxiliaryexaminationstoachievethispurposeKEYWORDSPrimarymalignantItumorofthed