论文部分内容阅读
目的探讨外科治疗胃肠间质瘤的疗效及重建。方法从本院选取20位外科手术治疗胃肠间质瘤患者,平均年龄65.7岁,多发生于胃和小肠,主要临床表现为腹胀、腹痛和消化道出血。同时,根据探查结果确定肿瘤的形态、大小和部位,进一步确定良性或恶性肿瘤,对患者均进行外科手术治疗,由检察结果进行选择性切除。结果胃肠间质瘤患者术前2例病理确诊;20例患者施行根治性手术治疗,12例复发再次手术,术后痊愈;1例恶性患者术后口服药物治疗;平均随诊3.5年,其中4例死亡。结论胃肠间质瘤临床表现无明显特征性,术前确诊率低,综合分析有助于提高确诊率,目前手术切除是胃肠间质瘤比较理想的治疗方法,治愈率较其他方式高。
Objective To investigate the efficacy and reconstruction of surgical treatment of gastrointestinal stromal tumors. Methods Twenty surgical patients with gastrointestinal stromal tumors were selected from our hospital. The average age was 65.7 years old. The majority occurred in the stomach and small intestine. The main clinical manifestations were abdominal distension, abdominal pain and gastrointestinal bleeding. At the same time, according to the results of the exploration to determine the shape, size and location of the tumor, to further determine the benign or malignant tumors, the patients were treated by surgery, the results of selective prosecution. Results Two cases of gastrointestinal stromal tumors were diagnosed by pathology before operation, 20 cases underwent radical surgery, 12 cases underwent reoperation and recovered after operation. One case of malignant patients was treated with oral medication. The average follow-up was 3.5 years, of which 4 died. Conclusion The clinical manifestations of gastrointestinal stromal tumors have no obvious characteristic, the preoperative diagnosis rate is low, the comprehensive analysis is helpful to improve the diagnosis rate. Currently, surgical resection is an ideal treatment for gastrointestinal stromal tumors, and the cure rate is higher than other methods.