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目的:评价胃间质瘤的临床诊断价值及腹腔镜手术治疗的可行性与安全性。方法:回顾性分析2006年8月~2009年12月52例超声内镜拟诊胃间质瘤的临床诊断与治疗资料。结果:经腹腔镜手术胃间质瘤切除成功46例,成功率90.2%;术后病理组织学及免疫组织化学检查明确为间质瘤35例,超声内镜术前诊断准确率达68.63%。51例患者中平滑肌瘤6例,异位胰腺2例;炎性纤维息肉1例;神经鞘瘤2例;粘液细胞恶性肿瘤2例;炎症性肌纤维母细胞瘤1例;胃壁间血管球瘤1例。结论:超声内镜可以作为胃间质瘤临床拟诊的重要常规检查方法,腹腔镜下胃间质瘤切除手术治疗胃间质肿瘤是安全可行的。
Objective: To evaluate the clinical diagnostic value of gastric stromal tumors and the feasibility and safety of laparoscopic surgery. Methods: The clinical diagnosis and treatment data of 52 cases of gastric stromal tumors diagnosed by endoscopic ultrasonography from August 2006 to December 2009 were retrospectively analyzed. Results: After successful laparoscopic surgery for gastric stromal tumors in 46 cases, the success rate was 90.2%. Histopathological and immunohistochemical examination revealed 35 cases of stromal tumors. The preoperative diagnostic accuracy of endoscopic ultrasonography was 68.63%. Among the 51 patients, there were 6 cases of leiomyoma, 2 cases of ectopic pancreas; 1 case of inflammatory fiber polyp; 2 cases of schwannoma; 2 cases of mucinous cell malignancy; 1 case of inflammatory myofibroblastic tumor; 1 case. Conclusion: Endoscopic ultrasonography can be used as an important routine examination method for gastric stromal tumors. Laparoscopic gastric stromal tumor resection is safe and feasible for the treatment of gastric stromal tumors.