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探讨胃神经鞘瘤诊断及治疗。对胃神经鞘瘤患者的临床资料并结合文献资料分析。胃神经鞘瘤与胃间质瘤术前鉴别困难,目前尚无明确诊断的有效方法,但增强CT有助于两者的鉴别。胃神经鞘瘤好发于女性,确诊需依据病理和免疫组化,可选择腹腔镜手术或内镜黏膜下剥离术等微创治疗方式。
To investigate the diagnosis and treatment of gastric schwannomas. The clinical data of patients with gastric schwannomas and analysis of literature data. Gastric schwannomas and gastric stromal tumors are difficult to distinguish preoperatively. There is no effective method for definitive diagnosis. However, enhanced CT can help identify the two. Gastric schwannomas occur predominantly in women. The diagnosis must be based on pathology and immunohistochemistry. Laparoscopic surgery or endoscopic submucosal dissection can be used for minimally invasive treatment.