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目的 探讨胃平滑肌肿瘤的诊断及治疗。方法 总结近 10年间收治的胃平滑肌肿瘤 2 4例。结果 平滑肌瘤 9例 ,平滑肌肉瘤 15例。主要临床表现为消化道出血、腹部包块和腹痛。内镜、X线钡餐和B型超声术前检查的阳性率分别为 2 3 .5 %、40 .4%和 5 0 % ,三者联合检查阳性率达 87.5 %。 2 4例均行手术治疗。其中胃楔形或部分切除 16例 ,胃大部切除 7例 ,全胃切除 1例。结论 内镜、X线钡餐和B型超声联合检查可以提高术前诊断率 ;胃楔形或部分切除是首选的外科手术方式
Objective To investigate the diagnosis and treatment of gastric smooth muscle tumors. Methods Twenty-four patients with gastric smooth muscle tumors treated in the past 10 years were reviewed. Results There were 9 cases of leiomyoma and 15 cases of leiomyosarcoma. The main clinical manifestations are gastrointestinal bleeding, abdominal mass and abdominal pain. The positive rates of endoscopy, X-ray barium meal, and B-mode ultrasonography were 23.5%, 40.4%, and 50%, respectively. The positive rate of the three combined examinations was 87.5%. All 24 patients underwent surgical treatment. Among them, 16 cases had wedge or partial resection of the stomach, 7 had partial gastrectomy, and 1 had total gastrectomy. Conclusion Endoscopy, X-ray barium meal and B-ultrasound combined examination can improve the preoperative diagnosis rate; gastric wedge or partial resection is the preferred surgical method