消化道平滑肌肉瘤的诊断及治疗(附86例报告)  

Diagnosis and treatment of liomyosarcoma in digestive tract: 86 cases report

作　　者：董新舒[1] 王锡山[1] 赵朋 崔滨滨[1] 刘淑珍[1] 鲁国杰 杨为戈[1] 

机构地区：[1]哈尔滨医科大学附属第三医院腹外科,黑龙江哈尔滨150040

出　　处：《哈尔滨医科大学学报》2000年第3期190-192,共3页Journal of Harbin Medical University

摘　　要：目的探讨消化道平滑肌肉瘤的临床病理学特征，以提高其诊断及治疗水平。方法回顾分析本院１９７５～１９９６年间收治的消化道平滑肌肉瘤８６例。结果①本病缺乏特异临床症状，诊断比较困难，主要依靠病理检查中的核分裂相。②以局限性生长者多见，手术切除率为８６％。③术后局部复发者较多，占２２．５％。④生存率较低，胃、小肠及大肠平滑肌肉瘤的５年生存率分别为３０％、４６．１％及４１．７％。结论本病虽多能切除，但其复发率高，生存率低，欲提高其疗效，有赖于早期诊断，在肿瘤较小时得到根治及无瘤技术的应用。Objective To explore the clinicopathological characters of liomyosarcoma in digestive tract for improving diagnosis and therapeutic efficacy.Methods From 1975 to 1996,86 cases of liomyosarcoma were analysed retrospectively in our hospital.Results Because of non specific clinical findings,the diagnosis was rather difficult and mainly depended on segmentation nuclei of histological examination;The lesion was usually localized and its resected rate was 86%;The local recurrent rate of postoperation was 22.5%;The 5 year survival rate of stomach,intestine and large bowel of liomyosarcoma was 30%,46.1% and 41.7%,respectively.Conclusion The disease had higher resected rate,but higher recurrent and lower survival rate.So the improving efficacy depended on early diagnosis,application of no touch technique and radical operation when the lesion was in small size.

关 键 词：消化道平滑肌肉瘤 诊断 治疗 预后 

分 类 号：R735[医药卫生—肿瘤]