摘要
目的:探讨胃肠间质瘤(GIST)的诊断及治疗方法。方法:X线钡剂检查16例,小肠造影3例,内窥镜检查35例,B超检查38例,CT检查37例。37例GIST行手术切除,1例GIST术中活检,所有病例均经病理证实。结果:手术切除率97.37%,3例胃部GIST患者分别于术后5、9、11个月死于肿瘤转移,5例胃部GIST患者分别于术后4、7、10、11、12个月出现肝转移。30例病人随访至今仍无瘤生存。结论:目前GIST的治疗以手术与药物综合治疗为主,胃部GIST发生转移的机会大于其它部位的GIST,转移的脏器多位于肝脏。
Objective： To evaluate the diagnosis and treatment of gastrointestinal stromal tumor （GIST）. Methods： Among 38 patients, all cases undergone ultrasound, 16 barium study, 35 endoscopies,37 CT. 37 cases were treated by operation, 1 case accepted biopsy during surgery. All of them were proved by pathology and after follow-up of 2 to 54 months. Results： 97.37% was resectable during operation. 3 cases were died because of metastases 5, 9, 7 months after operation. 5 cases developed metastases 4, 7, 10,11,12 months after operation. Still 30 cases alive without tumor. Conclusions： The chief remedy of GIST is operation and drug therapy, gastro stromal tumors have more likelihood of developing metastases, and metastases usually locates on liver.
出处
《新疆医科大学学报》
CAS
2006年第9期860-861,共2页
Journal of Xinjiang Medical University
基金
新疆维吾尔自治区高校科研计划重点项目(XJEDU2004134)
关键词
胃肠间质瘤
诊断
治疗
gastrointestinal stromal tumors （GIST）
diagnosis
treatment
