CAJ | 학술논문

目的探讨胃肠道平滑肌肿瘤的诊断及治疗。方法回顾性分析1982～1999年收治的92例胃肠道平滑肌肿瘤的临床及病理资料。结果发病部位：胃41例，小肠44例，结肠3例，直肠4例。良性肿瘤42例，恶性肿瘤50例。辅助检查：B超检查63例，阳性31例(49.2%)；CT检查27例，20例阳性(74.1%)；DSA检查29例，27例阳性(93.1%)；钡餐检查45例，阳性28例(62.2%)；小肠镜检查11例，2例阳性(18.2%)。ECT检查32例，20例阳性(62.5%)。结论对胃肠道特别是小肠的平滑肌肿瘤，DSA检查是安全有效的理想方法。手术切除是治疗胃肠道平滑肌肿瘤的主要方法。
목적탐토위장도평활기종류적진단급치료。방법회고성분석1982～1999년수치적92례위장도평활기종류적림상급병리자료。결과발병부위：위41례，소장44례，결장3례，직장4례。량성종류42례，악성종류50례。보조검사：B초검사63례，양성31례(49.2%)；CT검사27례，20례양성(74.1%)；DSA검사29례，27례양성(93.1%)；패찬검사45례，양성28례(62.2%)；소장경검사11례，2례양성(18.2%)。ECT검사32례，20례양성(62.5%)。결론대위장도특별시소장적평활기종류，DSA검사시안전유효적이상방법。수술절제시치료위장도평활기종류적주요방법。
Objective　To investigate the diagnose and therapy of patients with smooth muscle tumors (SMTs) of gstrointestinal tract (GI). Methods　A retrospective analysis was made on the clinical and pathological data of 92 patients with SMTs of GI admitted from 1982 to 1999 in Nanfang Hospital. Results　Location of the lesion: 41 cases in stomach, 44 in small intestine, and 7 in large bowel. Adjuvant examinations: BUS was performed on 63 cases with positive findings in 31; CT on 27 cases with positive findings in 20; DSA on 29 cases with positive findings in 27; barium series on 45 with positive findings in 28; and small intestinoscopy on 11 cases with pasitive findings in 2. Conclusions　DSA is the most effective method in diagnoses of SMTs of GI, especially for small intestinal leiomyoma. The primary treatment of GI-SMTs is surgical resection.