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目的:探讨肠道间质瘤的临床表现、病理类型、诊断及治疗措施。方法:回顾性总结长海医院1991年至2001年经手术治疗并经病理证实了的10例病例。结果:主要表现为:阵发性腹痛、腹胀、消化不良、便血、腹部或直肠包块。病理类型:良性间质瘤2例、恶性间质瘤8例。结论:肠道间质瘤表现无特殊性、易误诊,内镜和X线钡灌肠检查是术前常用的方法,腹部核素扫描、超长型电子小肠镜可提高诊断率。治疗上应采取以手术为主的综合治疗。
Objective: To investigate the clinical manifestations, pathological types, diagnosis and treatment of intestinal stromal tumors. Methods: A retrospective review was made on 10 cases surgically treated in Changhai Hospital from 1991 to 2001 and confirmed by pathology. Results: The main manifestations: paroxysmal abdominal pain, abdominal distension, indigestion, blood in the stool, abdominal or rectal mass. Pathological type: benign stromal tumors in 2 cases, 8 cases of malignant stromal tumors. Conclusion: GISTs have no particular manifestation. Misdiagnosis, endoscopy and X-ray barium enema examination are commonly used preoperative methods. Abdominal radionuclide scanning and long-length electronic enteroscopy can improve the diagnosis rate. The treatment should be based on the comprehensive treatment of surgery.