【摘要】 目的　探讨胃间质瘤的诊治方法。方法　回顾分析 14例胃间质瘤的临床表现、病理特点、诊断及治疗情况。结果　 14例中 ,7例位于胃体底部 ,7例位于胃窦部 ;主要的临床症状为腹部疼痛 ;均经胃镜、胃肠钡餐、CT及B超等检查发现。 14例均经手术切除 ,病理组织学显示良性 8例(5 7.1% ) ,不确定型 5例 (3 5 .7% ) ,恶性 1例 (7.1% ) ;术后复发 3例 ,死亡 1例。结论　胃间质瘤的治疗以手术为主 ,术后应长期密切随访 ,对复发或转移者可多次行姑息切除更多还原

【Abstract】 Objective To study the diagnosis and treatment of gastric stromal tumor(GST). Methods The clinical manifestation,pathological features ,diagnosis and treatment of 14 patients with GST were retrospectively analysed . Results Of the 14 GST,7 located in the fundus and the body of the stomach, 7 in the antrum of the stomach. The main symptom was abdominal pain, All the 14 GST were diagnosed by endoscopey, barium, ultrasound and CT. All patients were treated by excision. Histological diagnosis was as benign tumor in 8(57.1%)cases, uncertain types in 5 (35.7%)cases , and malignant tumor in 1 ( 7.1 %)case. There were local recurrence in 3 cases and death in 1 case after the operation. Conclusions The complete local excision is recommended for GST patients. Long term postoperative follow up is necessary for patients with GST. Reexcision may be helpful to the patients with recurrence or metastasis.更多还原