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目的探讨胃肠道间质瘤的诊治方法。方法对19例胃肠间质瘤病例作回顾性总结分析。结果19例中,良性12例,交界性3例,恶性4例;经局部或大部切除术后,随访6个月～4年,全组病例均存活,无复发。结论依据病史及临床表现,结合胃肠镜、B超、CT等检查综合分析判断,可提高正确诊断率;手术是主要治疗方法,甲磺酸伊马替尼(Imatinib,格列卫)的疗效有待进一步观察。
Objective To investigate the diagnosis and treatment of gastrointestinal stromal tumors. Methods 19 cases of gastrointestinal stromal tumors were retrospectively analyzed. Results Of the 19 cases, 12 were benign, 3 were borderline and 4 were malignant. After partial or major resection, the patients were followed up for 6 months to 4 years. All the patients survived without recurrence. Conclusion According to the history and clinical manifestations, combined with gastrointestinal endoscopy, B-ultrasound, CT and other tests to determine the comprehensive analysis to improve the correct diagnosis rate; surgery is the main treatment method, imatinib mesylate (Imatinib, Gleevec) efficacy Pending further observation.