论文部分内容阅读
目的:探讨消化道平滑肌肿瘤的临床特点和诊断方法,以期提高该病的早期诊断常。方法:回顾性分析了我院1964-2002年收治的消化道平滑肌肿瘤216例,均经手术和病理证实。结果:平滑肌瘤(IM)112例,平滑肌肉瘤(Ls)104例。消化道出血、腹块、腹痛为胃肠平滑肌肿瘤三大主要临床表现。本组术前诊断率为64.35％,钡餐造影诊断75例,内镜检查诊断80例,超声内镜诊断16例,CT诊断15例,血管造影诊断II例,小肠气钡造影诊断2例。结论:评价诊断方法的选择,钡餐、内镜检查是主要诊断方法;超声内镜、血管造影有重要诊断价值;CT对诊断有很大帮助,尤其对腔外型病变。
Objective: To investigate the clinical features and diagnosis of gastrointestinal smooth muscle tumors in order to improve the early diagnosis of the disease often. Methods: A retrospective analysis of 216 cases of gastrointestinal smooth muscle tumors treated in our hospital from 1964 to 2002 were confirmed by surgery and pathology. Results: There were 112 cases of leiomyoma (IM) and 104 cases of leiomyosarcoma (Ls). Gastrointestinal bleeding, abdominal mass, abdominal pain, gastrointestinal smooth muscle tumors of the three major clinical manifestations. The preoperative diagnosis rate was 64.35%, barium meal angiography 75 cases, endoscopy 80 cases, endoscopic ultrasound 16 cases, CT diagnosis 15 cases, angiography diagnosis II cases, small bowel barium 2 cases. Conclusion: The choice of diagnostic methods, barium meal, endoscopy is the main diagnostic method; ultrasound endoscopy, angiography has important diagnostic value; CT is very helpful in the diagnosis, especially for extraluminal lesions.