【摘要】 目的 分析胃神经鞘瘤的临床特点、诊断和治疗方法。方法 回顾分析笔者近14年来收治的9例胃神经鞘瘤的临床资料。结果 本组9例均手术治疗，但无一例术前确诊。1例恶性胃神经鞘瘤术后只生存了8个月，良性的手术效果良好。本病主要表现是上腹部隐痛(9例)、腹部肿块(5例)和上消化道出血(3例)。结论 本病无特异性临床表现，术前确诊困难、误诊率高。本病一经确诊，应及早手术治疗。

    【关键词】 胃；神经鞘瘤；诊断；治疗

    Gastric schwannoma:a report of 9 cases

    XU Hai-min,QIU Yun-feng,XU Shi-wu,et al.

    Department of General Surgery,Dachang Hospital of Baoshan District,Shanghai 200436,China

    【Abstract】 Objective To analyse the clinical characteristics,diagnosis and treatment of gastric schwannoma.Methods The clinical data of 9 patients with gastric schwannoma were retrospectively analysed.Results All underwent surgery,none were diagnosed before operation,1case had malignant gastric Schwannoma and died within 8 months after operation.Effect of operation for benign gastric schwannoma is nice.Symptoms of this disease are abdominal pain(9 cases),abdominal mass(5 cases)and upper gastrointestinal hemorrhage (3 cases).Conclusion There is not diagnostic clinical characteristic in gastric schwannoma,diagnosis is difficult before operation and the rate of misdiagnosis is high,gastric Schwannoma should be undergone operation. ......