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目的探讨胃恶性间质瘤的外科治疗方法。方法回顾性分析本院外科收治的恶性间质瘤的外科手术治疗经过及长期随访结果。结果行胃大部切除12例(1例行联合脏器切除),全胃切除5例(4例行联合脏器切除),胃周淋巴结清扫11例,淋巴结转移2例。术后获得随访13例,失访4例,发现复发、转移3例,行再次手术切除。结论胃恶性间质瘤的外科治疗强调根治性切除,对于复发的患者,应争取行再次手术切除。
Objective To investigate the surgical treatment of gastric malignant stromal tumors. Methods Retrospective analysis of surgical treatment of malignant stromal tumors admitted to our hospital after long-term follow-up and results. Results In 12 cases of subtotal gastrectomy (1 case of combined organ removal), 5 cases of total gastrectomy (4 cases of combined organ removal), 11 cases of gastric lymph node dissection and 2 cases of lymph node metastasis. After the operation, 13 cases were followed up and 4 cases were lost to follow-up. Three cases were found to have recurrence and metastasis, and the other resection was performed. Conclusion Surgical treatment of gastric malignant stromal tumors emphasizes radical resection, and for recurrent patients, surgical resection should be sought.