【摘要】 目的 探讨腹腔镜联合胃镜治疗胃间质瘤(GIST)的临床效果。方法 回顾性分析行腹腔镜结合胃镜治疗18例胃间质瘤患者的临床资料， 其中1例在胃镜辅助下行腹腔镜胃腔内肿瘤切除术， 17 例行胃镜辅助下行腹腔镜胃楔形切除术。结果 18 例患者均完成手术， 无手术并发症和中转开腹发生。手术时间(70.3±25.3)min， 术中出血(55.4±22.6)ml， 术后住院(7.5±2.4)d。切除的肿瘤直径(3.3±1.7)cm， 术后免疫组化结果：CD34阳性13例(72.2%)， CD117阳性16例(88.9%)， 其中极低度风险12例， 低度风险6例， 无高危病例。结论 腹腔镜结合胃镜治疗胃间质瘤安全可行， 值得临床推广应用。

    【关键词】 腹腔镜；胃镜；胃间质瘤

    【Abstract】 Objective To investigate clinical effect of gastroscope combined with laparoscope in the treatment of gastric stromal tumor (GIST). Methods A retrospective analysis was made on clinical data of 18 patients receiving gastroscope combined with laparoscope for gastric stromal tumor. There was 1 case received gastroscope-assisted laparoscopic stomach cavity tumor resection ......