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肠道间质瘤10例临床分析
http://www.100md.com 《结直肠肛门外科杂志》 2006年第1期
肠道间质瘤,,肠道间质瘤;临床表现;综合治疗,1临床资料,2讨论,参考文献
     摘要 目的:探讨肠道间质瘤的临床表现、病理类型、诊断及治疗措施。方法:回顾性总结长海医院1991年至2001年经手术治疗并经病理证实了的10例病例。结果:主要表现为:阵发性腹痛、腹胀、消化不良、便血、腹部或直肠包块。病理类型:良性间质瘤2例、恶性间质瘤8例。结论:肠道间质瘤表现无特殊性、易误诊,内镜和X线钡灌肠检查是术前常用的方法,腹部核素扫描、超长型电子小肠镜可提高诊断率。治疗上应采取以手术为主的综合治疗。

    关键词 肠道间质瘤;临床表现;综合治疗

    Clinical Analysis of 10 Cases of Intestinal Stromal Tumors.

    Zhang Shuzhi, Meng Ronggui, Yu Yang.

    Department of Coloproctologic surgery, the People's Hospital of Shiyan, Shiyan, Hubai 442000

    Abstract Objective:To investigate the clinical manifestations, pathological type, diagnosis and treatment of intestinal stromal tumors. Methods:The clinical data of 10 patients surgically treated and confirmed as intestinal stormal tumors by pathological examination from 1991 to 2001 were analyzed retrospectively.Results:The major clinical manifestations were as follows: paroxysmal abdominal pain, abdominal distention, dyspepsia, hematochezia, abdominal or rectal mass. The pathological types were as follows: benign mesenchymoma in 2 cases, malignant mesenchymoma in 8 cases.Conclusion:Specific clinical manifestations in patients with intestinal stromal tumors are less, thus this disease is easy to be misdiagnosed. Endoscope and barium enema are the common examination methods before operation. The diagnosis rate of intestinal stromal tumors can be increased by abdominal nuclide scanning and small intestine electronic endoscope of overlengthy type. The mainstay therapy is operation. ......

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