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为了研究和认识贲门胃底平滑肌肿瘤的临床特点、检查方法、治疗方式以及影响预后的因素，本文回顾性分析我院外科手术并病理证实的14例贲门胃底平滑肌肿瘤，其中肌瘤10例，肉瘤4例。主要症状是上腹部疼痛不适和反复黑便，无吞咽困难和梗阻。术前造影和胃镜检查基本可明确诊断。平滑肌肉瘤预后不佳。贲门胃底平滑肌瘤和肉瘤的区别主要在病理上核分裂数、瘤细胞坏死以及临床上肿瘤大小，而手术切除范围并不明显影响存活率。
In order to study and understand the clinical features, examination methods, treatment methods and factors affecting prognosis of gastric cardia smooth muscle tumors, we retrospectively analyzed 14 cases of gastric cardiomyocolic tumors of gastric cardia which were surgically confirmed by pathology in our hospital, including 10 cases of fibroids. 4 cases of sarcoma. The main symptoms are pain in the upper abdomen and repeated black stools, no difficulty in swallowing and obstruction. Preoperative angiography and gastroscopy can basically confirm the diagnosis. The prognosis of leiomyosarcoma is poor. The difference between gastric fundus sarcoma and sarcoma is mainly the pathological mitotic count, tumor cell necrosis, and clinical tumor size, and the scope of surgical resection does not significantly affect the survival rate.