空回肠间质瘤36例诊治分析

目的 探讨空回肠间质瘤的诊断和治疗经验.方法 对我院2010 年10 月～2011 年10 月收治的有完整资料的36例空回肠间质瘤病例进行回顾性分析,本组患者均经术后病理和免疫组化证实.结果 本组患者主要临床表现为消化道出血、腹痛.发病至确诊时间2 个月至7 年.结论 小肠间质瘤预后甚好,但本病缺乏特征性的临床表现及有效的诊断手段,易致长期延误诊治;对长期不明原因的消化道出血患者,及早行剖腹探查或腹腔镜腹腔探查是避免小肠间质瘤长期延误诊治,改善患者预后的关键.

Objective：Discussion of jejunum and ileum stromal tumor diagnosis and treatment experience.Methods：In our hospital in 2010 October - 2011 October were a complete data of 35 cases with ileum stromal tumors were retrospectively analyzed, this group of patients underwent postoperative pathology and immunohistochemistry confirmed.Results：In this group of patients is the main clinical manifestations of gastrointestinal bleeding, abdominal pain. Onset to diagnosis time from 2 months to 7 years.Conclusions：Small intestinal stromal tumor prognosis is good, but the disease is the lack of characteristic clinical manifestations and effective means of diagnosis, prone to cause long-term delayed diagnosis and treatment; to long-term unexplained gastrointestinal bleeding patients, early laparotomy or laparoscopic abdominal exploration is to avoid the long delay in diagnosis and treatment of stromal tumor of small intestine, improve the prognosis of patients with critical.