62例合并出血的消化道平滑肌瘤临床分析

Clinical analysis of the gastrointestinal leomyoma with Bleeding in 62 Patients

目的与方法:本文采用七种不同的诊断方法,对经手术病理证实的62例并出血的消化道平滑肌瘤诊断率进行了研究.结果:本病误诊率达41.9%,其最常见的好发部位为:(1)食管下段88.9%,(2)胃底81.8%;(3)小肠,主要是空肠62.09%.以结肠最为常少见.另外,七种诊断手段中,以动脉血管造影诊断阳性率最高(77.8%),其次为内窥镜(71.4%)、ECT(60.0%)及肠系钡餐检查(50.0%),B-型超声诊断率最低(15.8%).结论:(1)平滑肌瘤系引起消化道出血的原因之一,应重视本病;(2)临床表现与病理类型不同的关;(3)合理选择、综合应用特检的手段系提高本病诊断率的关键.

Histopathologically proved the gastrointestinal Leomyoma with bleeding in 62 patientswere studied the diagnostic rate.Different Seven diagnostic methods were used for the above mentioned patients,and the results have been analyzed.Results;The misdiagnostic rate was41.9% .The most common Locality:①Lower esophagus is 88.9% ;② Fundus of stomach is 81.8%; ③ Small intestine'Jejunum' is 62.09% and less common in the colon. Anong Seven diagnostic metods, the arteriography had the highest postive rate (77.8%) . The next was endoscopy (71.4%), then ECT (60.0%) and intestinal serie (50.0%).The lowest was B- Ultrasound (15.8%). Conclusions: ① We should have to consider that leomgoma is one of the casues which lead to the gastrointestinal bleeding; 2 The clinical presentation of the disease vary according to the pathological finding ;3 The accurate diagnosis with increase according to the best selection of the diagnostic methods.