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目的 探讨胃肉瘤的临床特点及治疗方法。方法 回顾性分析 5 8例胃肉瘤 (其中平滑肌肉瘤 44例 ,恶性淋巴瘤 11例 ,神经纤维瘤 2例 ,脂肪肉瘤 1例 )患者的临床资料。结果 胃大部切除 2 3例 ,胃大部切除加淋巴清扫 16例 ,全胃切除 7例 ,联合切除 8例 ,未切除 4例 ,手术无并发症及死亡。结论 胃肉瘤以根治性胃切除为主 ,伴胃周脏器浸润或转移 ,则联合切除术 ,胃肉瘤手术切除率高 ,预后好
Objective To investigate the clinical features and treatment of gastric sarcoma. Methods The clinical data of 58 patients with gastric sarcoma (including 44 cases of leiomyosarcoma, 11 cases of malignant lymphoma, 2 cases of neurofibroma and 1 case of liposarcoma) were retrospectively analyzed. Results Most of the stomach resection in 23 cases, partial gastrectomy and lymph node dissection in 16 cases, total gastrectomy in 7 cases, combined resection in 8 cases, 4 cases without resection, no complications and death. Conclusions Gastric sarcoma is mainly treated by radical gastrectomy, with infiltration or metastasis of gastric organs. Combined resection and gastric sarcoma have good surgical resection rate and good prognosis