摘要目的探讨十二指肠良性肿瘤的诊断及治疗方法。方法回顾性分析1989年2月～2000年3月手术切除，并经病理证实的8例十二指肠良性肿瘤。结果 Brunner腺瘤3例，平滑肌瘤2例，间质瘤2例，脂肪瘤1例。十二指肠良性肿瘤的临床症状多不典型，早期诊断困难。患者均表现为上消化道出血，不同程度的贫血，这对进一步检查有提示意义。上消化道造影及胃十二指肠镜检查是主要的辅助诊断方法。本组患者均行外科手术切除肿瘤，效果良好。结论上消化道出血是十二指肠良性肿瘤最常见的症状；上消化道造影及胃十二指肠镜检查是主要检查手段；手术切除肿瘤是首选的治疗方法。

abstractsObjective To investigate the problems of diagnosis and treatment in patients with benign tumor of duodenum． Method Clinico pathological data of 8 patients with benign tumors of duodenum treated surgically in our department from 1989 to 2000 were analyzed retrospecively． Resuslts Of the 8 patients, 3 had a Brunner＇s grand adenoma, 2 leiomyoma, 2 mesenchymoma, and 1 lipoma． In general, the patients were asymp tomatic and the lesions were discovered incidentally． Gastrointestinal bleeding might be the main symptom even if it was nonspecific． BIeeding might be melena or hematemesis and the patients might develop signs of anemia． Upper gastrointestinal tract examination and gastroduodenoscopy was performed before operation in 7 patients． The tumor was removed through longitudinal incision during duodenotormy． Conchusions Gastrointestinal bleeding is common in patients with benign tumor of duodenum． The upper gastrointestinal tract examination and gastrododenoscopy are major methods for diagnosis． The best treatment of choice is 1ocal resection．