直肠平滑肌肉瘤──6例报告及国内文献72例分析

Leiomyosarcoma or the rectum (Report of 6 cases and review of 72 cases)

本组收集７８例直肠平滑肌肉瘤（本院６例，国内文献７２例）患者。男性４５例，女性３３例；年龄１～７９岁。主要临床症状为：肛门坠痛（５５．１％），便秘（５３．８％），血便（３７．２％），大便变形（３５．９％），腹泻（１６．７％），排尿困难（５．１％）。９７．４％的患者进行了手术治疗，其中Ｍｉｌｅｓ术５４例，肿瘤部分切除术１６例，结肠造瘘术６例，放疗１例，放弃治疗１例。本文对直肠平滑肌肉瘤的发病率、病理、诊断和治疗进行了讨论。

Six cases of leiomyosarcoma of the rectum are reported with a review of 72 cases reported from 1949 through 1993 in our courtry. The diseas is rare'.Forty-five patients were males and 33 females.The rarge of the age was 1 -79 years.The main clinical manfestation consisted of rectal pain (55.1%),constipation (53.8%),rectal bleeding(37.2%),distortion of feces(35.9%),diarrhea(16.7 %),dysuria(5.1%).97.4% patients underwent surgical operation. Finally,the incidence,pathology,diagnosis method and treatment of the leiomyosarcoma of the rectum are discussed with a review of literature.