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目的探讨胃平滑肌肿瘤的诊断及治疗方法。方法对 34例经手术治疗的胃平滑肌肿瘤的临床资料进行回顾性分析。结果胃平滑肌肉瘤肿块较大 ,本组中最大直径≥ 5cm者占6 8% ,≥ 10cm者占 5 0 % ;胃平滑肌肉瘤大多位于胃底体区 ,占 94 % ;胃平滑肌肉瘤有三大临床表现 :上腹痛、上腹包块、出血。胃镜、钡剂X线透视、CT有助于诊断。随访结果 :本组 3、5、10年生存率分别是 87%、5 2 %及 2 6 %。结论对胃平滑肌肉瘤应积极考虑手术治疗。根据肿块大小、部位和浸润程度决定手术方式
Objective To investigate the diagnosis and treatment of gastric smooth muscle tumors. Methods The clinical data of 34 cases of gastric smooth muscle tumors surgically treated were retrospectively analyzed. Results Gastric leiomyosarcoma masses were larger, in this group, the largest diameter ≥ 5cm accounted for 68%, ≥ 10cm accounted for 50%; gastric leiomyosarcoma mostly located in the gastric fundus, accounting for 94%; gastric leiomyosarcoma has three major clinical manifestations : Upper abdominal pain, upper abdominal mass, bleeding. Gastroscopy, barium X-ray, CT helps to diagnose. Follow-up results: The 3, 5, 10-year survival rates were 87%, 52% and 26% respectively. Conclusions Surgical treatment of gastric leiomyosarcoma should be actively considered. According to the size of the tumor, the site and degree of infiltration determine the surgical approach