CAJ | 학술논문

目的探讨胃肠恶性间质瘤的临床诊断与治疗措施.方法回顾性分析经手术治疗的28例胃肠恶性间质瘤患者的临床资料.结果胃肠恶性间质瘤成年人多见,50岁以上占71.4%(20/28),常见的临床症状是消化道出血、贫血以及疼痛.病变部位:胃19例,小肠8例,结肠1例.行根治性切除22例,局部切除5例,姑息性切除1例,其中3例为联合脏器切除.结论胃肠恶性间质瘤诊断的主要手段是内镜和影像学检查.手术切除是病理确诊和治疗的主要方法,必要时需联合脏器切除.
목적 탐토위장악성간질류적림상진단여치료조시.방법 회고성분석경수술치료적28례위장악성간질류환자적림상자료.결과 위장악성간질류성년인다견,50세이상점71.4%(20/28),상견적림상증상시소화도출혈、빈혈이급동통.병변부위:위19례,소장8례,결장1례.행근치성절제22례,국부절제5례,고식성절제1례,기중3례위연합장기절제.결론 위장악성간질류진단적주요수단시내경화영상학검사.수술절제시병리학진화치료적주요방법,필요시수연합장기절제.
Objective To study the clinical diagnosis and treatment of malignant gastrointestinal stromal tumor. Methods To retrospectively analyze the clinical data of 28 cases with malignant gastrointestinal stromal tumors underweat surgical treatment . Results The malignant gastrointestinal stromal tumor in adults were more than 50 years old,71.4%(20/28) ,and common clinical symptoms were gastrointestinal bleeding,anemia,and pain. The lesion site: 19 cases of gastric bowel, 8 cases of small intestine, 1 case of colon, radical excision in 22 cases, local excision palliative resection in 5 cases, three cases were multi-visceral resection. Conclusion Malignant gastrointestinal stromal tumor could be diagnosed by the means of endoscopic imaging and clear,and preoperative diagnosis was difficult. Surgical resection was the pathology diagnosis and treatment of primary method,if necessary,to ensure multi-visceral resection of the tumor to prevent recurrence of thoroughness, had important significance.