胃肠间质瘤38例诊治分析  

The diagnosis and treatment of gastrointestinal stromal tumor-analysis of 38 cases

作　　者：何铁汉[1] 张文斌[1] 王云海[1] 文西年[1] 李涛[1] 阿不都外力·吾守尔[1] 陈兵[1] 

机构地区：[1]新疆医科大学第一附属医院普外科

出　　处：《吐鲁番科技》2009年第1期14-17,共4页

基　　金：新疆维吾尔自治区高校科研计划重点项目(XJEDU2004134)

摘　　要：目的:探讨胃肠间质瘤GIST诊断及治疗。方法:X线钡剂检查16例,小肠造影3例,内窥镜检查35例,B超检查38例,CT检查37例。37例GIST行手术切除,1例GIST术中活检,所有病例均经病理证实。结果:手术切除率97.37%,3例胃部GIST分别于术后5、9、11个月死于肿瘤转移,5例胃部GIST分别于术后4、7、10、11、12个月出现肝转移。30例病人随访至今仍无瘤生存。结论:目前GIST的治疗仍以手术为主,胃部GIST发生转移的机会大于其它部位的GIST,转移的脏器多位于肝脏。Objective:To evaluate the diagnosis and treatment of gastrointestinal stromal tumor.Methods:Among 38 patients, all cases undergone ultrasound,16 barium study,35 endoscopies,37 CT.37 cases were treated by operation,1 case accepted biopsy during surgery.all of them were proved by pathology and after follow-up of 2 to 54 months.Results:97.37%was resectable during operation.3 cases were died because of metastases 5,9,7 months after operation. 5 cases developed metastases 4,7,10,11,12 months after operation.Still 30 cases alive without tumor.Conclusions:The chief remedy of GIST is operation.gastro stromal tumors have more likelihood of developing metastases, and metastases usually locates on liver.

关 键 词：胃肠间质瘤 诊断 治疗 

分 类 号：R735[医药卫生—肿瘤]