经ＣＴ与胃肠钡餐检查相对照并经手术及病理证实的胃平滑肌肉瘤４８例，分析其ＣＴ与胃肠钡餐检查征象。指出虽然ＣＴ检查对上腹部肿块的诊断有很多的优点，但胃肠钡餐检查仍具有重要作用，ＣＴ检查不能完全代替传统的胃肠钡餐检查，两者相互配合对胃平滑肌肉瘤乃至上腹部包块的诊断，会有更大的帮助 Forty-eight cases of gastric leiomyosarcoma confirmed by operation and pathology after CT and gastrointestinal barium meal examination were analyzed. CT and gastrointestinal barium meal examination signs were analyzed. It is pointed out that although the CT examination has many advantages for the diagnosis of the upper abdominal mass, the gastrointestinal barium meal examination still plays an important role. The CT examination can not completely replace the traditional gastrointestinal barium meal examination. The two cooperate with each other to treat gastric leiomyosarcoma and even upper abdominal mass The diagnosis, there will be more help