【摘要】 目的 總結胃間質瘤的診斷及治療方法。 方法 回顧性分析2005年10月-2009年10月收治的15例胃間質瘤患者的臨床資料。 結果 患者的主要臨床表現為消化道出血、腹痛、腹脹、貧血等,全部手術切除。主要根據胃間質瘤大小和部位決定手術方式。有6例行胃大部切除,8例行胃楔形切除,1例經腹腔鏡行胃楔形切除。 結論 胃間質瘤術前難以明確診斷,確診有賴于術后病理和免疫組織化學檢查,手術切除仍是治療胃間質瘤的主要手段。
【Abstract】 Objective To summarize the clinical experience in diagnosing and treating gastric stromal tumor. Methods The clinical data of 15 patients with gastric stromal tumor admitted from October 2005 to October 2009 was retrospectively reviewed. Results Among these patients, the clinical manifestations mainly included gastrointestinal bleeding, abdominal pain, abdominal flatulence, and anemia. All patients had undergone surgical resections. Mainly based on the size and location of the gastric stomal tumor, a specific operative procedure was decided for each patient. Of these patients, subtotal gastrectomy had been performed on six, gastric wedge resection on eight, and laparoscopic gastric wedge resection on one. Conclusion It is difficult to confirm the diagnosis of gastric stromal tumor before the operation. The diagnosis is usually confirmed by postoperative pathological and immunohistochemical examinations. Surgical resection remains to be the major therapeutic approach for gastric stromal tumor.
引用本文: 李全,唐剛. 胃間質瘤的診治. 華西醫學, 2010, 25(11): 1950-1951. doi: 復制