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目的:分析胃肠道间质瘤的诊断依据,并探讨有效的外科治疗方法。方法:选取2009年1月到2014年1月我院收治的胃肠道间质瘤患者共46例,所有患者均经组织活检确诊后,进行手术治疗,总结患者的临床诊断特点和外科治疗效果。结果:良性肿瘤患者32例,恶性肿瘤患者14例,经外科手术治疗后,30例(93.8%)良性肿瘤患者经外科手术治疗后痊愈,术后无一例复发,另2例患者因其它并发症致治疗无效,恶性肿瘤14例患者中,2例(14.3%)患者因急性复发而致死,术后复发患者8例(57.1%),其它4例患者经手术治疗后痊愈。术后复发患者经二次手术后均恢复良好。结论:临床上可使用胃镜、CT联合病理活检方法进行胃肠道间质瘤诊断,外科手术切除在临床治疗中有良好疗效,可尝试性将药物和手术的联合疗法应用于胃肠道间质瘤的治疗。
Objective: To analyze the basis of diagnosis of gastrointestinal stromal tumors and to explore effective surgical treatment. Methods: A total of 46 patients with gastrointestinal stromal tumors admitted to our hospital from January 2009 to January 2014 were enrolled. All patients were diagnosed by biopsy and then surgically treated to summarize the clinical diagnosis and surgical treatment . Results: Thirty-two cases of benign tumor and 14 cases of malignant tumor were cured by surgery. Thirty cases (93.8%) of benign tumor were cured after surgery. There was no recurrence after surgery. The other two cases were complicated by other complications Among the 14 patients with malignant tumors, 2 (14.3%) died of acute relapse, 8 (57.1%) had postoperative recurrence, and the other 4 patients recovered after surgery. Postoperative recurrence patients recovered well after the second surgery. Conclusions: Gastroscopy and CT combined with pathological biopsy can be used to diagnose gastrointestinal stromal tumors in clinic. Surgical resection has good curative effect in clinical treatment. The combined therapy of drugs and surgery can be used tentatively in gastrointestinal interstitial Tumor treatment.