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目的探讨结直肠间质瘤的临床特点和手术治疗效果。方法选择我院2001月1月至2009年1月22例,分析其临床表现、肿瘤的部位、大小与病理检查。22例患者均行手术治疗。8例结肠间质瘤患者中6例行所在肠段切除术,其余2例行肿瘤部分切除术;14例直肠间质瘤患者,其中前切除术(Dixon)7例,腹会阴联合切除术(Miles)3例,局部切除术3例,仅作肿瘤切除活检1例。结果本组22例患者,无围手术期死亡。22例患者均完全随访,随访时间平均60个月。在14例直肠间质瘤患者中,8例患者在术后34个月～79个月死亡,其余6例患者无瘤生存。8例结肠间质瘤患者中,3例于术后3个月～16个月死亡,5例无瘤生存。22例患者平均生存时间为(47±6.4)个月。结论对于结直肠间质瘤来说,宜早期诊断及早行手术治疗是治疗结直肠间质瘤的关键。
Objective To investigate the clinical features and surgical treatment of colorectal stromal tumors. Methods Select our hospital from January 2001 to January 2009 22 cases, analysis of its clinical manifestations, tumor location, size and pathological examination. Twenty-two patients underwent surgical treatment. Among the 8 patients with colon stromal tumors, 6 performed resection of the bowel segment, and the remaining 2 patients underwent partial tumor resection. Among the 14 patients with rectal stromal tumors, 7 had Dixon and 7 received abdominal perineal resection Miles in 3 cases, partial resection in 3 cases, only for tumor excision biopsy in 1 case. Results The group of 22 patients, no perioperative deaths. Twenty-two patients were followed up for an average of 60 months. Of the 14 patients with rectal stromal tumors, 8 died at 34 months to 79 months after surgery, and the remaining 6 patients survived without disease. Of the 8 patients with colon stromal tumors, 3 died after 3 months to 16 months and 5 had no tumor. The average survival time of 22 patients was (47 ± 6.4) months. Conclusion For colorectal stromal tumors, early diagnosis and early surgical treatment of colorectal stromal tumors is the key.