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目的探讨胃平滑肌肿瘤的诊治方法。方法1998年1月-2008年1月外科手术胃平滑肌肿瘤28例,分析肿瘤生长部位、方式、诊断方法、病理、治疗方式。结果肿瘤位于胃体部17例(61%),胃窦部7例(25%),胃底部4例(14%)。行胃次全切除15例,局部切除9例,全胃切除术3例,姑息切除术1例(肝转移)。病理诊断:胃平滑肌瘤15例,胃平滑肌肉瘤13例。结论结合病史,多种辅助检查综合诊断,可提高术前的诊断率,治疗原则为手术切除,根据术中所见肿瘤大小、部位及病变良恶性决定切除范围。
Objective To investigate the diagnosis and treatment of gastric smooth muscle tumors. Methods From January 1998 to January 2008, 28 cases of surgical gastric smooth muscle tumors were analyzed. The tumor growth site, method, diagnosis, pathology and treatment were analyzed. Results Tumors were located in 17 cases of gastric body (61%), 7 cases of gastric antrum (25%) and 4 cases of gastric fundus (14%). Subtotal gastrectomy in 15 cases, partial resection in 9 cases, total gastrectomy in 3 cases, palliative resection in 1 case (liver metastasis). Pathological diagnosis: 15 cases of gastric leiomyoma, 13 cases of gastric leiomyosarcoma. Conclusion Combined with medical history and various auxiliary examinations, the diagnosis rate can be increased preoperatively. The treatment principle is surgical excision. The extent of resection is decided according to the tumor size, location and benign and malignant lesions seen in the operation.