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目的总结胃间质瘤的诊断及治疗方法。方法回顾性分析2005年10月-2009年10月收治的15例胃间质瘤患者的临床资料。结果患者的主要临床表现为消化道出血、腹痛、腹胀、贫血等,全部手术切除。主要根据胃间质瘤大小和部位决定手术方式。有6例行胃大部切除,8例行胃楔形切除,1例经腹腔镜行胃楔形切除。结论胃间质瘤术前难以明确诊断,确诊有赖于术后病理和免疫组织化学检查,手术切除仍是治疗胃间质瘤的主要手段。
Objective To summarize the diagnosis and treatment of gastric stromal tumors. Methods The clinical data of 15 patients with gastric stromal tumor treated from October 2005 to October 2009 were retrospectively analyzed. Results The main clinical manifestations of patients were gastrointestinal bleeding, abdominal pain, bloating, anemia, etc. All surgical resection. The surgical approach is mainly based on the size and location of the gastric stromal tumor. Six patients underwent subtotal gastrectomy, 8 patients underwent wedge resection, and 1 patient underwent laparoscopic wedge resection. Conclusion It is difficult to diagnose gastric stromal tumors before operation. The diagnosis depends on pathological and immunohistochemical examinations. Surgical resection is still the main method for the treatment of gastric stromal tumors.