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目的:探讨胃肠道间质瘤(GIST)的诊断方法。方法:对15例经手术病理证实的GIST患者的临床资料进行回顾性分析,胃镜检查4例,B超检查15例。CT检查14例.小肠造影3例。结果:15例GIST中良性间质瘤4例.恶性间质瘤11例。术中均未发现肿大淋巴结,病理检查均未发现淋巴结转移。结论:GIST术前诊断需依靠临床表现、影像学检查等方法进行综合分析,以降低漏诊和误诊率。
Objective: To investigate the diagnosis of gastrointestinal stromal tumors (GIST). Methods: The clinical data of 15 patients with GIST confirmed by surgery and pathology were analyzed retrospectively. There were 4 cases of gastroscopy and 15 cases of B ultrasound. CT examination in 14 cases. 3 cases of small bowel angiography. Results: There were 4 benign stromal tumors in 15 cases of GIST, and 11 cases of malignant stromal tumors. None of the patients had swollen lymph nodes during operation, and no lymph node metastasis was found in the pathological examination. Conclusion: The preoperative diagnosis of GIST depends on the clinical manifestations, imaging studies and other methods for comprehensive analysis to reduce the missed diagnosis and misdiagnosis rate.