【摘要】 本文报导4例胃平滑肌瘤。其中男性1例,女性3例,年龄最大67岁,最小45岁。分类腔内型2例,腔外型及腔内外型各1例。2例以上消化道大出血入院均属于腔内型,其余2例中1例为X线钡餐检查发现,另1例因直肠癌手术探查时发现。本文强调对本病诊断上X线检查,纤维内窥镜检查和“B”型超声波有一定帮助,一旦诊断明确应该手术治疗,由于与胃平滑肌肉瘤肉眼上难于鉴别,应常规作冰冻活体检查。若能明确诊断则作局部楔形切除或肿瘤剔除术,否则以胃大部份切除为宜。更多还原

【Abstract】 This article presents 4 patients with smooth muscle tumors of stomach. Among these, one was male and the other three were female. The oldest was 67 and the youngest 45. One tumor protruded outside the wall of the stomach. Another protruded outside the wall and into the cavity of stomach. Simultaneously, the remaining two, protruding into the cavity of the stomach, bled profusely in the upper alimentary track on admission to the hospital, Two cases were discovered by X-ray study. One was found during the operation for carcinoma of rutum. From the above 4 cases, We suggest X-ray study, utra-sonicgraphy and the flexible fibropticendoscope are helfpul in diagnosis. When the diagnosis is confirmed, Surgery is the first choice. Pathological examination of frozen tissus section is necessary. because it is difficult to make differential diagnosis of smooth muscle tumor and smooth muscle sarcoma by gross examination. If the diagnosis is confirmed, local resection or tumor ablation should be done, Otherwise, subtotal gastrectomy is more reliable.更多还原