43例消化道平滑肌肿瘤临床分析  

CLINIC ANALYSIS ON THE ALIMENTARY CANAL LIEOMYONEOPLASMAS-A REPORT OF 43 CASES

作　　者：陈锋夏[1] 符勇[1] 杨作衡[1] 汤鹏[1] 王国雄[1] 

机构地区：[1]海南省人民医院,海口570311

出　　处：《海南医学》2000年第5期14-15,共2页Hainan Medical Journal

摘　　要：目的探讨不同部位消化道平滑肌肿瘤的发生率，临床特点及诊治方法。方法：回顾性分析４３例病人的临床资料。结果：食管８例．均为平滑肌瘤；胃２３例，平滑肌瘤１４例．平滑肌肉瘤７例，平滑肌母细胞瘤２例；小肠５例，平滑肌瘤３例，平滑肌肉瘤２例；结肠２例，平滑肌瘤和平滑肌肉瘤各１例；直肠４例，平滑肌瘤和平滑肌肉瘤各２例。结论：消化道造影和内窥镜检查是主要的诊断手段，选择性动脉造影对小肠平滑肌肿瘤有较大诊断意义。食管平滑肌瘤行肌层纵行切开粘膜外肿瘤摘除术，胃肠道的平滑肿瘤以所在处部分器官切除为主。Objective To study the morbidity, clinic characters and management of Alimentary Canal leioneo- plasms in different anatomical locations. Metthods: Analyze the clinic datum of 43 cases retrospectively. Results: Eight cases were esophageal leiomyomas; 14 cases were gastric leiomyomas, 7 cases gastric leiomyosarcomas, 2 cases gastric leiomyoblastomas; colonic leiomyoma and leiomyosarcoma 1 case each; rectal leiomyomas 2 cases, rectal leio- myosarcomas 2 cases. Conclusions: Gastroenterography and endoscopy are major diagnostic methods, and selected arteriography is valuable to small bowel leiomyoneoplasms: Esophageal leiomyomas were ablated through longitudinal incisions from out of the mucomembrane and gastroenterological leiomyoneoplasms were excised by partial organ exci- sions.

关 键 词：消化道肿瘤 平滑肌肿瘤 诊断 外科手术 

分 类 号：R735[医药卫生—肿瘤]