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45例胃肠道间质瘤诊断及外科治疗

Diagnosis and surgical treatment of gastrointestinal stromal tumors 45 cases
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摘要 目的对胃肠道间质瘤诊疗的探讨。方法河北省邯郸市第一医院2009年至2011年例胃肠道间质瘤患者45例,对这些病例的诊断、检查、治疗及疗效回顾性分析。结果此次讨论的所有病例中43例患者酪氨酸激酶受体CD117呈阳性,占95.6%;28例CD34阳性患者,占75.6%,CD117、CD34均为阳性的患者24例,占53.3%。治疗方法以手术为主,所有病例无围手术期死亡,无严重并发症且痊愈出院,对40例患者随访,半年至3年。结论胃肠道间质瘤临床表现无显著特性,术前诊断率较低,免疫化验对此病起着独特的作用,主要的治疗方法为外科手术切除。 Objective To explore the diagnosis and treatment of gastrointestinal stromal tumors. Methods From 2009 to 2011 ,cases of gastrointestinal stromal tumor in 45 patients, the diagnosis of these cases, examination, treatment and efficacy were retrospectively analyzed. Results Totally 43 patients in all cases of this discussion tyrosine kinase receptor CD117 positive, accounting for 95.6% ; 28 cases of CD34 - positive patients, accounting for 75.6% , CD117, CD34 were positive in 24 patients,accounting for 53.3%. Treatment with surgery,all eases no perioperative deaths, no serious complications discharged, the follow - up of 40 patients from six months to three years. Conclusion The clinical manifestations of gastrointestinal stromal tumors without significant characteristics of the lower rate of preoperative diagnosis, immune laboratory plays a unique role in this disease, the main treatment is surgical resection.
作者 孙江华
出处 《医药论坛杂志》 2013年第4期66-67,70,共3页 Journal of Medical Forum
关键词 肠道间质瘤 诊疗 外科手术 Intestinal stromal tumors Clinics Surgery
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