【摘要】 目的探讨胃平滑肌肿瘤的诊断、病理学特点和治疗选择 .方法对 1984年 2月至 1999年 2月经治的 45例胃平滑肌肿瘤进行回顾性分析 .结果术前确诊仅 15例 ( 33 3% ) . 45例均予手术治疗并经病理学证实 .随访中 3例因肿瘤广泛扩散而衰竭死亡 . 2例出现复发而予再次手术 ,再次手术后已分别存活 2年、 3年；其余病例随访恢复良好 .结论确立本病的诊断要根据病史、多种特殊检查的结果、肿瘤的大体形态和术中、术后病理等综合分析 .手术切除为其首选治疗方法 ,在术式选择上应根据肿瘤的部位、大小和生物学行为而定 ,一般无需行广泛的根治性胃切除 .良、恶性平滑肌肿瘤均应强调术后长期随访 ,以提高生存率 .更多还原

【Abstract】 Objective To study the pathological characteristics, diagnosis and treatment of smooth muscle tumor in stomach. Methods Clinical data of 45 above- mentioned cases diagnosed by both operation and pathology were analyzed retrospectively.Results Only 15 cases(33.3% ) were confirmed before operation. All the 45 cases underwent operation and were identified by pathology. Three cases died of extensive metastases and cachexia during follow up. Two cases recurred and were operated on again, surviving for 2 and 3 years until now after operation, respectively. The others recovered well. Conclusions Comprehensive analysis is needed to diagnose the disease, including the history, special examination, tumor gross appearance and pathologic changes during or after operation. Resection is the primary treatment. The operation procedure should be chosen according to the site, size and biologic behavior of the tumor. Generally, extended gastrectomy and lymphnode clearance is not necessary. It is emphasized that both benign and malignant tumor need a long- term follow up after operation to increase the survival rate.更多还原