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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 .
Objective To investigate the diagnosis, pathological features and treatment options of gastric smooth muscle tumors.Methods Forty-five gastric smooth muscle tumors were retrospectively analyzed from February 1984 to February 1999. Results Fifteen patients (33.3% ) .All the 45 cases were surgically treated and confirmed by pathology.Of the follow-up, 3 cases died due to the widespread spread of the tumor, 2 cases had recurrence and underwent reoperation and survived 2 years and 3 years respectively after the second operation.The other cases were followed up Good recovery.Conclusion The diagnosis of this disease should be based on the history, the results of a variety of special inspections, the general morphology of the tumor and intraoperative, postoperative pathology and other comprehensive analysis. Surgical resection is the preferred method of treatment, surgical procedures should be based on Tumor location, size and biological behavior, generally do not need a wide range of radical gastrectomy .Step and malignant smooth muscle tumors should be emphasized long-term follow-up to improve the survival rate.