34例胃平滑肌肿瘤的临床诊断与治疗  

Clinical Diagnosis and Therapy of Stomach Leiomyoma in 34 Cases

作　　者：贾山移[1] 周向东[2] 

机构地区：[1]重庆市第三人民医院,重庆400014 [2]重庆医科大学附属第二医院,重庆400010

出　　处：《中国药业》2007年第17期50-51,共2页China Pharmaceuticals

摘　　要：目的探讨胃平滑肌肿瘤临床误诊的原因及早期治疗原则。方法收集医院1988—2006年34例胃平滑肌肿瘤患者的临床资料,进行回顾性分析。结果34例患者中,术前诊断明确者7例(占21%),误诊27例(占79%);33例行局部或胃大部切除术,仅1例行根治术并淋巴结清扫术,但5年随访无一例因肿瘤复发而死亡,5年生存率为68.4%。结论及时、准确地诊断胃平滑肌肿瘤,并采取正确的治疗方法能提高疗效、降低死亡率。Objective To study the misdiagnostic causes and the principle of early treatment for stomach leiomyoma （SL）. Methods The 34 cases with SL between 1988 and 2006 in the hospital were retrospectively analyzed. Results Among these patients, 7 cases were identified preoperative diagnosis, the rate was 21%; and 27 cases were misdiagnosis, the rate was 79%.33 cases received regional or subtotal gastrectomy, only 1 case received radical correction and lymph node clearance, but nobody died from recidivation of tumor during 5-year follow-up period. The survival rate of 5 years was 68.4%. Conclusion The timely and exact diagnosis of SL and adopting correct treatment can improve the curative effect and decrease the death rate.

关 键 词：胃平滑肌肿瘤 诊断 治疗 

分 类 号：R735.2[医药卫生—肿瘤] R730.5[医药卫生—临床医学]