关键词：平滑肌组织瘤；平滑肌肉瘤；腔外型；胃
【摘要】目的总结腔外型胃平滑肌肿瘤的诊断及治疗经验。方法回顾性分析过去20年48例腔外型胃平滑肌肿瘤的临床特点、辅助检查的准确率以及手术方式。结果48例腔外型胃平滑肌肿瘤占同期胃平滑肌肿瘤的68.6%，主要临床表现为腹部包块37.9%，消化道出血37.9%及腹部不适33.3%。术前胃肠钡餐及胃镜检查准确率分别为57.9%及41.7%，术前确诊率为49.4%。手术以胃楔形切除及胃大部分切除为主。结论腔外型胃平滑肌肿瘤早期缺乏特异性临床表现，易误诊。胃肠钡餐及胃镜联合B超和CT可提高确诊率。治疗上以胃楔形切除及胃大部分切除为主，不必常规清扫淋巴结。
Exogastric tumors of gastric smoothmuscle
HE Yulong, LIU Tongcheng, ZHENG Zhangqing, et al
(Division of Gastrointestinal and Pancreatic Surgery, First Affiliated Hospital, Sun Yatsen University of Medical Scienses,Guangzhou 510080,China)
【Abstract】 Objective To investigate the clinical features,diagnostic methods and treatment principles of exogastric gastric smooth muscle tumor.Method Clinical presentations, diagnostic procedures and surgical treatments of 48 caseswith exogastric gastric smooth muscle tumor during past 20 years were analyzedretrospectively.Results Fourty eight cases of exogastric gastric smooth muscle tumorsaccounted for 68. 6% of all the patients with gastric smooth muscle tumors. Abdominalmass, gastrointestinal bleeding, and abdominal discomfort were the most common symptoms,occurring in 37. 9% , 37. 9% and 33. 3% patients respectively. The accuracy rates ofpreoperative diagnosis with upper gastrointestinal barium study and gastric endoscopy were57. 9% and 41. 7% . The overall accuracy rate of preoperative diagnosis was 49. 4% .The most common types of resection were wedge resection and partialgastrectomy.Conclusions Misdiagnosis rate is high in exogastric tumors because of lack ofspecific clinical manifestations during the early stage. Upper gastrointestinal bariumstudy and gastric endoscopy, in combination with ultrasonography and CT, can increase theaccuracy rate of diagnosis of such disease. The main surgical managements are wedgeresection and partial gastrectomy, and routine lymphadenectomy is not necessary.
......
您现在查看是摘要页，全文长 10843 字符。