目的 探讨十二指肠腺瘤并大出血的诊断和治疗。
方法 对2例十二指肠腺瘤并大出血患者进行回顾性分析，并结合文献进行讨论。
结果 2例术前均行X线气钡双重造影、胃镜及肿块活检，但未确诊。2例均行十二指肠切开、肿瘤切除术而痊愈。
结论 十二指肠腺瘤早期多无临床症状，随着肿瘤的增大可并发肠梗阻或肿瘤溃疡出血而出现相应症状； X线钡餐和胃镜可发现肿瘤，但难于确诊，经内窥镜或十二指肠切开、肿瘤切除术是治疗本病的常用方法。
Citation：
姚宏亮,周建平,李永国,梁青春. THE DIAGNOSIS AND TREATMENT OF BLEEDING DUODENAL BRUNNEROMA (REPORT OF 2 CASES). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2000, 7(6): 396-397. doi:
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| 1. |
Matsumoto T, Iida M, Matsui T, et al. A large Brunner’s gland adenoma removed by endoscopic polypectomy〔Ｊ〕. Endoscopy, 1990; 22(3)∶192.
|
| 2. |
Peison B, Benisch B. Brunner’s gland adenoma of the duodenal bulb〔Ｊ〕. Am J Gastroenterol, 1982; 77(4)∶276.
|
| 3. |
Smirnov OA, Serezhin BS, Nikonova OA. Brunner’s gland adenoma of the duodenal bulb〔Ｊ〕. Arbh Patol, 1995; 57(6)∶71.
|
| 4. |
张恩源， 钟守先， 何祖根等. 十二指肠Brunner腺瘤〔Ｊ〕. 中华外科杂志， 1990； 28(7)∶390.
|
| 5. |
Hardt M, Kruis W, Eidt S. A rare cause of upper gastrointestinal hemorrhage : large adenoma of Brunner’s glands〔Ｊ〕. Z Gastroenterol, 1994; 32(10)∶589.
|
- 1. Matsumoto T, Iida M, Matsui T, et al. A large Brunner’s gland adenoma removed by endoscopic polypectomy〔Ｊ〕. Endoscopy, 1990; 22(3)∶192.
- 2. Peison B, Benisch B. Brunner’s gland adenoma of the duodenal bulb〔Ｊ〕. Am J Gastroenterol, 1982; 77(4)∶276.
- 3. Smirnov OA, Serezhin BS, Nikonova OA. Brunner’s gland adenoma of the duodenal bulb〔Ｊ〕. Arbh Patol, 1995; 57(6)∶71.
- 4. 张恩源， 钟守先， 何祖根等. 十二指肠Brunner腺瘤〔Ｊ〕. 中华外科杂志， 1990； 28(7)∶390.
- 5. Hardt M, Kruis W, Eidt S. A rare cause of upper gastrointestinal hemorrhage : large adenoma of Brunner’s glands〔Ｊ〕. Z Gastroenterol, 1994; 32(10)∶589.
