目的　加深对胃平滑肌瘤的认识 ,旨在提高诊治水平。方法　对胃平滑肌瘤 2 4例的临床资料进行分析。结果　本病多见于 5 0岁以上男性 ,以腔内型生长为多 ,占 5 4.2 % ;主要临床表现为上腹痛、腹胀、腹部肿块、上消化道出血等。术前确诊 12例。局部肿瘤切除 14例 ,胃大部切除 8例 ,全胃切除、探查各 1例。结论　X线钡餐检查和胃镜检查是主要辅助检查手段 ;B型超声及CT检查有助于诊断。有效治疗方法是手术切除 Objective To deepen the understanding of gastric leiomyoma, aiming to improve the diagnosis and treatment. Methods The clinical data of 24 cases of gastric leiomyoma were analyzed. Results The disease more common in men over the age of 50 to endometriosis as much, accounting for 5.22%; the main clinical manifestations of abdominal pain, abdominal distension, abdominal mass, upper gastrointestinal bleeding. Preoperative diagnosis of 12 cases. Local tumor resection in 14 cases, subtotal gastrectomy in 8 cases, total gastrectomy, exploration in 1 case. Conclusion X-ray barium meal examination and gastroscopy are the main auxiliary examination methods; B-mode ultrasound and CT examination are helpful for the diagnosis. Effective treatment is surgical resection