神州牛牛

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                    1. 小肠癌 它的症状是什么

                      神州牛牛  XIAOCHANGAISHIRICHANGSHENGHUOZHONGCHANGJIANDEEXINGZHONGLIUZHIYI,DANSHIXIAOCHANGAISHIBIJIAOSHAOJIANDE,DANSHINANRENDEFABINGLVYIRANYAOBINVXINGGAODEDUO。NEIMEDAJIAZHIDAOXIAOCHANGAIDEFABINGJILVSHIDUOSHAOMA?XIAOCHANGAIWANQIZHENGZHUANGSHISHENMENI?XIAMIANXIAOBIANJIUWEIDAJIAJIESHAOYIXIAXIAOCHANGAINENGZHIHAOMA?

                      神州牛牛  XIAOCHANGAIFABINGYUANYINYIRANBUMING,DANSHIXIAOCHANGAIDEFABINGLVYESHIFEICHANGDIDE,XIAMIANDAJIAJIUYIQILAIRENSHIYIXIAXIAOCHANGAIBA。

                        病因

                      神州牛牛  BINGYINBUMING。XIAOCHANGZHONGLIUDUOJIANYUHUICHANG,QICIKONGCHANG,ZUICIWEISHIERZHICHANG。XIAOCHANGZHONGLIUSHAOJIAN,QIYUANYINWEI:①XIAOCHANGNEIRONGWUWEIYETAIQIEPIANJIANXING;②XIAOCHANGXIJUNSHAO;③TEDINGDEMEIHANLIANGGAO;④YUNDONGKUAI;⑤FENMIGAONONGDUIgA;⑥XIAOCHANGJIHELINBAJIEDUO,YITLINBAXIBAOWEIZHU,MIANYIGONGNENGQIANG。

                      小肠肿瘤多见于回肠,其次空肠,最次为十二指肠

                        临床表现

                      神州牛牛  XIAOCHANGEXINGZHONGLIUDEZHENGZHUANGJIBINGCHENG,YINZHONGLIUDELEIXINGJIBUWEIERYI。YIBANRENWEI,XIANAIDEPINGJUNBINGCHENGWEI5~6GEYUE,PINGHUAJIROULIUWEI8~9GEYUE,LEIAIWEI12~25GEYUE。WEIYUSHIERZHICHANGZHEZHENGZHUANGCHUXIANJIAOZAO;LEIAIDUOFASHENGYUHUICHANG,ZHENGZHUANGXIANGDUIJIAOWAN。XIAOCHANGEXINGZHONGLIUDEZHENGZHUANGWEIFUBUBAOKUAI、FUTONG、CHANGGENGZU、FARE、PINXUE、XIAOSHOUDENG;WEIYUSHIERZHICHANGZHEKEYOUHUANGDAN,PINFANOUTUDENG;ZHONGLIUCHUANKONGKEYOUFUMOYANBIAOXIAN。

                        检查

                        1.小肠癌钡剂造影

                        ZHEIZHONGFANGFASHICHAGUANFAXIAOCHANGQIBEISHUANGZHONGZAOYING,SHIDUIXIAOCHANGCHUXUEXINGBINGBIANDEZHENDUANLVTIGAO10%~25%。XIAOCHANGBEIJIZAOYINGDUIXUEGUANXINGBINGBIANJIHUMEIYOURENHEZHENDUANJIAZHI。

                        2.放射性核素显像

                      神州牛牛  FANGSHEXINGHESUXIANXIANGWEIFEICHUANGSHANGXINGJIANCHA,ZHUYAOYONGYUXIAOCHANGCHUXUEDEDINGWEI,QIMINGANXINGQIANGYUXUEGUANZAOYING。QIXIAOCHANGHUODONGXINGCHUXUEZHENDUANYANGXINGLVWEI40%~50%,DANYOUSHIHUICHUXIANJIAYANGXING。

                        3.双气囊内镜

                      神州牛牛  SHUANGQINANGNEIJINGKEMIBUJIAONANGNEIJINGDEQUEDIAN,JINYIBUTIGAOLEXIAOCHANGJIBINGDEQUEZHENLV,DUIXIAOCHANGCHUXUE、XIAOCHANGGENGZUHEBUMINGYUANYINFUTONGDEQUEZHENLVJIAOGAO,MUQIANSHIXIAOCHANGJIBINGZHENDUANDEJINBIAOZHUN。QUEDIANSHIJIANCHASHIJIANZHANG,HUANZHETONGKUJIAODA。JIANYUSHUANGQINANGNEIJINGCAOZUOJIAOFEISHI,DUICAOZUOZHEJISHUYAOQIUGAO,YOUYIDINGDECAOZUOFENGXIAN,ZAIGUONEISHANGWEIWANQUANPUJI。

                        4.CT仿真内镜

                      神州牛牛  LIYONGLUOXUANCTBOCENGWUJIANGESAOMIAOHEJISUANJISANWEIZHONGJIAN,JIKEHUODELEISINEIJINGDEDONGTAIZHONGJIANTUXIANG。QIJUXIANXINGSHIBUNENGGUANCHANIANMOYANSEBIANHUA,DUIQIANBIAOXIWEIJIEGOUBIANHUABUNENGFENBIAN,BUNENGJINXINGHUOJIANJIJINGXIAZHILIAO。

                        5.剖腹探查

                        DANGRANZHEIZHONGSHIZHIJIEDEJIANCHAFANGFA,DANSHIDAJIAYEBUNANMINGBAI,ZHEISHIZUISHANGHAISHENTIDEFANGFA,YIBANQINGKUANGXIAHAISHIBUYAOSHIYONGWEIHAO。

                        诊断

                        XIAOCHANGEXINGZHONGLIULINCHUANGZHENDUANJIAOKUNNAN,ZAOQIZHENDUANGENGNAN,SHIERZHICHANGZHONGLIUZHENDUANLVJIAOGAO。QIZHENDUANZHUYAOGENJULINCHUANGBIAOXIANJIEHEWEIJINGHUOXIANWEIXIAOCHANGJINGJIXIAOCHANGBEIJIZAOYINGDENGZILIAOZONGHEKAOLV。

                      小肠恶性肿瘤临床诊断较困难,早期诊断更难,十二指肠肿瘤诊断率较高

                        鉴别诊断

                      神州牛牛  XUYUJUXIANXINGCHANGYAN、XIAOCHANGLIANGXINGZHONGLIU、ZHANLIANXINGCHANGGENGZU、FUMOJIEHE、LUANCHAOZHONGLIUYIJIXIAOCHANGDEZIFAXINGTAODIEHUONIUZHUANDENGJIBINGJINXINGJIANBIE。

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