论文部分内容阅读
目的分析胃神经鞘瘤的发病概况并探讨其诊断及治疗。方法回顾性分析 9例胃神经鞘瘤并结合文献复习。结果胃神经鞘瘤胃体 5例 ,胃窦 2例 ,胃底 2例。 4例术前经胃镜活检证实。均经手术治疗。良性 7例中 3年内死亡 3例 ,已存活 >2年 4例 ;恶性 2例 ,6个月死亡 1例 ,已存活 7个月 1例。结论胃神经鞘瘤发病少见 ,多为良性 ,症状不典型 ,多需术前病理活检或术后病理确诊。良性可行胃部分切除或胃大部切除 ,恶性应行根治性手术
Objective To analyze the incidence of gastric schwannoma and to explore its diagnosis and treatment. Methods Nine cases of gastric schwannoma were retrospectively analyzed and reviewed. Results Gastric nerve sheath rumen in 5 cases, 2 cases of gastric antrum, stomach in 2 cases. 4 cases confirmed by gastroscopy before surgery. Surgical treatment. 3 cases were benign in 3 cases, 4 cases survived> 2 years, 2 cases were malignant, 1 case died in 6 months, and 1 case survived in 7 months. Conclusion The incidence of gastric schwannoma is rare, mostly benign, the symptoms are not typical, more preoperative biopsy or postoperative pathological diagnosis. Viable part of the stomach resection or partial gastrectomy, malignant should be radical surgery