直肠间质瘤的手术方式及预后分析(附15例报告)

Operative Method and Prognostic Analysis of Rectal Stromal Tumors

目的总结直肠间质瘤的手术方式和预后。方法对武汉大学中南医院2000年1月～2007年1月收治的15例直肠间质瘤的外科手术方式、手术入路和治疗效果进行回顾性分析。结果15例直肠间质瘤患者中,3例行腹会阴联合切除,4例行直肠前切除术,8例行经肛门肿瘤局部切除术。3例在两年之内局部复发,再次行扩大切除。100%的病人接受了随访。到随访期结束,除1例死于腹腔种植转移,2例死于肝转移外,其余均无病生存。结论外科手术是直肠间质瘤的主要治疗手段,治疗效果满意。手术方式因肿瘤大小和临床病理特征不同而多样选择。

Objective To summarize operative method and prognosis of rectal stromal tumors. Methods Operative method, choice of surgical approach and treatment outcome of 15 cases with rectal stromal tumors admitted from January 2000 to January 2007 in Zhongnan hospital of Wuhan university were analyzed retrospectively. Results Among 15 cases underwent surgical operation, three cases were treated by abdominoperineal resection, four cases accepted anterior resection of rectum and 8 cases were performed by local excision. Extended resection were performed in 3 patients with local recurrences. All these pa tients were followed up. At the end of the follow-up peroid, except one case died of intraperitoneal metastasis and two cases died of liver metastasis, 11 cases obtained clinical curative effect. Conclusion Surgical operation demonstrated satisfactory results and it was the main therapy method of rectal stromal tumors. Various surgical approach should be accepted according to the site and clinicopathological features of rectal stromal tumors.