摘要
目的探讨胃肠道平滑肌肉瘤的临床表现、诊断、外科手术处理原则及影响预后的因素。方法报告1972年～1995年78例胃肠道平滑肌肉瘤的诊断、手术处理及5年生存情况。结果本组胃肠道平滑肌肉瘤术前诊断率为(69.2％),消化道钡餐、CT 扫描及内窥镜检查阳性率分别达88.5％、63.6％、85.7％。术后5年生存率为65.9％。结论胃肠道平滑肌肉瘤的治疗效果及预后与肿瘤大小、病理分级、临床分期和是否掌握正确手术原则有密切关系。
Objective To study the clinical presentation,diagnosis,surgical management and prognosis of gastrointestinal leiomyosarcoma.Methods Seventy-eight cases of gastrointestinal leiomyosarcoma from 1972 to 1995 were reviewed.Result In this series,the diagnosis accurate preoperatively was 69.2 percent. The positive finding were 88.5 percent,63.6 percent and 85.7 percent,respectively,by the gastrointesti- nal barium meal,CT scan and endoscopy inspection.The overall five-year survival was 65.9 percent.Con- dusion The treatment results and prognosis are related to tumour size,pathological grade and clinical stages.The surgical management are the main procedure for the treatment of the gastrointestinal leiomyosar- coma.
