32例胃肠道间质瘤的诊断和治疗分析  

Diagnosis and Treatment of Gastrointestinal Stromal Tumors:an Analysis of 32 Cases

作　　者：周宏[1] 孙晓光[1] 夏加增[1] 

机构地区：[1]江苏省无锡市第二人民医院,江苏无锡214002

出　　处：《中国临床医学》2006年第2期229-230,232,共3页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨胃肠道间质瘤的诊断和治疗方法。方法:对1998～2005年收治的32例胃肠道间质瘤病人的临床表现、手术处理及病理结果进行回顾分析。结果:肿瘤多位于胃部,最多的临床表现为腹部隐痛不适。手术前81．3％(26／ 32)的病例有不同程度的误诊。均行外科手术切除。其中因复发而行2次手术者10例。3次手术者8例。随访时间6个月～5年,死亡8例。结论:胃肠道间质瘤缺乏特异性临床表现,术前确诊率较低,其确诊依靠病理结果。目前胃肠道间质瘤的治疗仍以手术切除为主,对复发或远处转移者积极再次手术可延长生存期。Objective：To explore the diagnosis and treatment of gastrointestinal stromal tumors（GISTs）. Methods：32 patients with GISTs in wuxi No. 2 hospital from 1998 to 2005 were retrospectively analyed. Results;Stomach was the most frequent site for GISTs. Abdominal pain was the most common symptom. Before operation, 81.3% （26/32） of the cases were misdiagnosed. All of the cases underwant surgical resections, 10 recurrent GISTs patients received a second resection, and 8 patients underwant three resections. Follow-up was made from 6 months to 5 years,and 8 patients died, Conclusion：The diagnosis of GISTs is difficult, because of the lack of clinical feature, Find diagnosis should be based on pathology. The main choice of treatment is operation. Re-operation can prolong the life of the patient in recurrent and metastasis cases.

关 键 词：胃肠道问质瘤 间叶性肿瘤 

分 类 号：R735[医药卫生—肿瘤]