胃平滑肌肉瘤23例诊治分析  

Diagnosis and treatment of gastric leiomyosarcoma:a report of 23 cases.

作　　者：张才全[1] 傅仲学[1] 王子卫[1] 朱明才[1] 时德[1] 

机构地区：[1]重庆医科大学附属第一医院,重庆400016

出　　处：《四川医学》2002年第1期5-6,共2页Sichuan Medical Journal

摘　　要：目的　探讨胃平滑肌肉瘤的诊断与外科治疗。方法　对 2 3例胃平滑肌肉瘤患者的临床资料进行回顾性分析。结果　远端胃大部切除术 14例 ,胃楔形切除术 6例 ,近端胃大部切除 3例。无手术死亡和手术并发症 ;5年生存率为5 1.2 %。结论　胃平滑肌肉瘤缺乏特征性的临床表现 ;胃镜检查、胃肠钡餐和内窥镜超声扫描是诊断胃平滑肌肉瘤的重要手段 ;Objective To investigate the diagnosis and surgical treatment of gastric leiomyosarcoma.Methods The clinical course and feature were analyzed retrospectively for 23 patients with gastric leiomyosarcoma from January 1985 to December 1999.Results Optimal surgical treatment is subtotal gastrectomy(D 1) or partial gastrectomy.In all the patients without complications and operative mortality.5 years survival rates were 51.2%.Conclusion Patient with gastric leiomyosarcoma lack specific clinical symptoms.Gastroscopy?GI and Eus have an important role to discovery Leiomyosarcomas signs.Surgical treatment is one of the best cheices.

关 键 词：胃平滑肌肉瘤 胃肿瘤 治疗 外科手术 病例分析 

分 类 号：R735.2[医药卫生—肿瘤]