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目的:探讨腹腔镜联合胃镜治疗胃神经鞘瘤的临床应用。方法:回顾分析4例胃神经鞘瘤患者临床及诊疗资料。结果:4例患者术前均行胃镜及腹部CT检查(肿瘤直径均<3 cm),仅1例诊断为胃神经鞘瘤;联合腹腔镜及胃镜切除肿瘤,术中快速病理报告均诊为胃间质瘤;手术均顺利完成,手术平均时间(83±15)min;术中平均出血量(43±10)m L;无出血、狭窄等并发症;随访未出现复发及转移。术后病理诊断均为胃神经鞘瘤。结论:腹腔镜联合胃镜对直径<3 cm的胃神经鞘瘤是安全可行的,但术前诊断率仍有待提高。
Objective: To investigate the clinical application of laparoscopy combined with endoscopy in the treatment of gastric schwannoma. Methods: The clinical and diagnostic data of 4 patients with gastric schwannoma were retrospectively analyzed. Results: All 4 patients underwent gastroscopy and abdominal CT examination (tumor diameter <3 cm), only 1 case was diagnosed as gastric schwannoma. Combined with laparoscopic and endoscopic resection of the tumor, the rapid intraoperative pathological report was diagnosed as stomach Stromal neoplasms were successfully performed. The average operation time was 83 ± 15 min. The mean intraoperative blood loss was 43 ± 10 m L. No complications such as hemorrhage and stenosis were observed. No recurrence or metastasis was observed at follow-up. Postoperative pathological diagnosis of gastric schwannoma. Conclusions: Laparoscopy combined with gastroscopy is safe and feasible for gastric schwannoma of diameter <3 cm, but the preoperative diagnosis rate still needs to be improved.