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目的总结腔外型胃平滑肌肿瘤的诊断及治疗经验.方法回顾性分析过去$%年?@例腔外型胃平滑肌肿瘤的临床特点、辅助检查的准确率以及手术方式.结果?@例腔外型胃平滑肌肿瘤占同期胃平滑肌肿瘤的#@A #B ,主要临床表现为腹部包块’CA &B ,消化道出血’CA &B及腹部不适’’A ’B .术前胃肠钡餐及胃镜检查准确率分别为“CA &B及?!A CB ,术前确诊率为?&A ?B .手术以胃楔形切除及胃大部分切除为主.结论腔外型胃平滑肌肿瘤早期缺乏特异性临床表现,易误诊.胃肠钡餐及胃镜联合D超和(E可提高确诊率.治疗上以胃楔形切除及胃大部分切除为主,不必常规清扫淋巴结.
Objective To summarize the experience of diagnosis and treatment of luminal gastric smooth muscle tumors.Methods The clinical features, the accuracy of auxiliary examinations and the surgical methods were retrospectively analyzed in the past $% years.Results @ Gastric smooth muscle tumors account for the same stage of gastric smooth muscle tumors # @ A #B, the main clinical manifestations of abdominal mass ’CA & B, gastrointestinal bleeding’ CA & B and ’abdominal discomfort’ ’A’ B. Preoperative gastrointestinal barium meal and gastroscopy The accuracy rate of preoperative diagnosis was ”A & B" .Wedge wedge resection and the majority of gastric resection were the main operation.Conclusion Early appearance of luminal gastric smooth muscle tumor lacks specific clinical manifestations , Easily misdiagnosed.Gastrointestinal barium meal and gastroscopy combined with D-ultrasonography (E can improve the diagnosis rate.With the treatment of gastric wedge resection and most resection of the stomach mainly without lymph node dissection routine.