十二指肠间质瘤的诊断与外科治疗22例报告  

Gastrointestinal stromal tumor diagnosis and surgical treatment in duodenum：A report of 22 cases

作　　者：李胜文[1] 沈雄山[1] 龚光伟[1] 李卫民[1] 樊立[1] 

机构地区：[1]孝感市中心医院普通外科,湖北432000

出　　处：《腹部外科》2013年第6期408-410,共3页Journal of Abdominal Surgery

摘　　要：目的 探讨十二指肠间质瘤的临床特征、外科治疗方法.方法 回顾分析2000~2012年收治的22例十二指肠间质瘤患者的临床资料.结果 肿瘤最常见于十二指肠降部,其次为水平部、球部、升部.临床表现以上消化道出血多见,其次为腹痛、饱胀、贫血.诊断方法的选择为上消化道钡餐造影、胃镜、超声内镜及CT.22例患者均获得手术治疗.术后随访9个月至12年,其中20例获得完整随访,1年、3年生存率分别为100% 和70%.结论 十二指肠间质瘤以恶性者多见,术前诊断主要依据上腹部增强CT、胃肠道钡剂造影、胃镜以及超声内镜检查.手术切除是治疗十二指肠间质瘤有效的方法,应根据十二指肠间质瘤大小和位置采取不同的手术方式.Objective To investigate clinical characteristics, surgical treatment and results in duodenal stromal tumor. Methods A retrospective analysis of 22 cases of clinical data in patients with GIST in duodenum was conducted who undertook surgery between 2000 and 2012. Results Most tumors in this study located in descending duodenum and horizontal portion, bulb, ascending duode- num. Main clinical manifestations were gastrointestinal bleeding, abdominal pain, distension and ane- mia. The upper gastrointestinal barium meal, endoscopy, endoscopic ultrasound and CT was taken as the main diagnostic methods. All 22 patients undertook surgical treatment. Postoperative follow-up time ranged from 9 months to 12 years, in which 20 cases were followed up underwent complete follow up study including one-year survival rate （10（）~） and 3-year survival rates （70%）. Conclusion Malig- nant duodenal stmmal tumors were more common among GIST during the preoperative diagnosis. Enhanced abdominal CT, gastrointestinal barium, endoscopy and endoscopic ultrasound are main diagnostic methods. Surgical resection is the essential way to bring better effectiveness for duodenal stromal tumors. Differential procedures need to be taken referring to the size and location of tumor tissues.

关 键 词：十二指肠肿瘤 胃肠道间质瘤 诊断 治疗 

分 类 号：R735.31[医药卫生—肿瘤]