胃神经鞘瘤:附9例报告

Gastric schwannoma:a report of 9 cases

目的 分析胃神经鞘瘤的临床特点、诊断和治疗方法。方法 回顾分析笔者近 1 5年来收治的 9例胃神经鞘瘤的临床资料。结果 临床主要表现是上腹部隐痛 (9例 )、腹部肿块 (5例 )和上消化道出血 (3例 )。 9例均手术治疗 ,但无 1例术前确诊。 1例恶性胃神经鞘瘤术后只生存了 8个月 ,良性的手术效果良好。结论 胃神经鞘瘤无特异性临床表现 ,术前确诊困难 ,误诊率高 ,一经确诊 ,应及早手术治疗。

Objective To analyse the clinical characteristics,diagnosis and treatment of gastric schwannoma. Methods The clinical data of 9 patients with gastric schwannoma were retrospectively analysed. Results The main manifestation in this series was as follows:abdominal pain(9 cases), abdominal mass(5 cases) and upper gastrointestinal hemorrhage(3cases).All the patients underwent surgery.None was diagnosed before the operation, 1 patient with malignant gastric Schwannoma died 8 months after the operation.The effect of operation for benign gastric schwannoma was nice.Conclusions Gastric schwannoma has no specific clinical characteristics preoperatively,and the misdiagnosis rate is high.Once the diagnosis of gastric Schwannoma is made,an operation should be performed as early as possible.