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目的探讨原发性肠系膜肿瘤的诊断及治疗方法。方法对各种类型的原发性肠系膜肿瘤的临床表现、术前检查及诊断治疗等进行了对比分析。结果该病临床误诊率高。实性肿瘤多为恶性,手术切除率低;囊性肿瘤多为良性,手术切除率高。总手术切除率约50%。结论原为性肠系膜肿瘤its床表现多样、复杂,缺乏特异性诊断依据,但CT、B超引导下的细针穿刺等有助于其诊断。对疑为本病者,应果断手术。手术是治疗该病的唯一有效手段。无论良、恶性均应尽早手术。
Objective To investigate the diagnosis and treatment of primary mesenteric tumors. Methods The clinical manifestations, preoperative examination, diagnosis and treatment of various types of primary mesenteric tumors were compared and analyzed. Results The clinical misdiagnosis rate of the disease is high. Solid tumors are mostly malignant and have a low surgical resection rate; cystic tumors are mostly benign and have a high surgical resection rate. The total surgical resection rate is about 50%. Conclusion The original mesenteric tumors are diverse and complex in their performance and lack specific diagnostic criteria. However, CT and B-ultrasound guided fine needle aspiration are helpful for the diagnosis. For those who are suspicious of the disease, they should be decisive. Surgery is the only effective treatment for the disease. Either good or malignant surgery should be performed as soon as possible.