手术治疗胃平滑肌肿瘤28例临床研究  

Effect of Surgical Treatment on Gastric Smooth Muscle Tumor:a Report of 28 Cases

作　　者：徐周 梅佩冬 李冬 

机构地区：[1]广东省电白县人民医院外科,525400

出　　处：《中华全科医学》2009年第5期492-493,共2页Chinese Journal of General Practice

摘　　要：目的探讨胃平滑肌肿瘤的诊治方法。方法1998年1月-2008年1月外科手术胃平滑肌肿瘤28例,分析肿瘤生长部位、方式、诊断方法、病理、治疗方式。结果肿瘤位于胃体部17例(61%),胃窦部7例(25%),胃底部4例(14%)。行胃次全切除15例,局部切除9例,全胃切除术3例,姑息切除术1例(肝转移)。病理诊断:胃平滑肌瘤15例,胃平滑肌肉瘤13例。结论结合病史,多种辅助检查综合诊断,可提高术前的诊断率,治疗原则为手术切除,根据术中所见肿瘤大小、部位及病变良恶性决定切除范围。Objective To investigate the diagnosis and treatment of gastric smooth muscle tumor. Methods The data of 15 cases of gastric leiomyoma and 13 case of leiomyosarcoma were analyzed retrospectively, including the tumor location, growth pattern,diagnostic method,pathological results and treatment. Results 17 cases（61% ） were in body of stomach,7 cases（25% ） were in antrum of stomach,and 4 cases（ 14% ） were in fundus of stomach. 15 cases were treated by subtotal gastrectomy,9 cases were received local gastrectomy,3 cases received total gastrectomy, and one case with multiple metastasis of liver was treated by palliative resection. Conclusion Based on the medical history, multiple examining can improve the accuracy of diagnosis, surgical resection should be performed according the tumor size and site, and pathological report.

关 键 词：手术 胃 平滑肌瘤 平滑肌肉瘤 

分 类 号：R735.2[医药卫生—肿瘤]