胃神经鞘瘤32例的临床诊断与外科治疗
杨维良;李胜龙;张好刚
【期刊名称】《中国现代普通外科进展》 【年(卷),期】2011(014)009
【摘要】目的:总结胃神经鞘瘤的临床特点、诊断与外科治疗经验.方法:回顾性分析1989-2009年收治的32例胃神经鞘瘤患者的临床资料.结果:临床表现腹痛、腹部肿块、胃出血并休克、柏油样便.钡齐胃造影、BUS及CT平扫均显示胃腔内实质不能定性的肿块.纤维胃镜取部分活组织明确诊断4例,术前确诊率12.5%.术后病理组织学检查确诊28例.所有病例均手术切除,其中胃窦部半胃切除术12例;胃部分切除术13例;胃次全切除术2例;全胃切术或根治性胃切除术5例.结论:胃神经鞘瘤无特异临床表现,术前诊断困难,确诊率低.病理组织学检查能够确诊,免疫组织化学对进一步诊断有帮助.一经确诊或胃存在实质性肿块,应及早手术治疗.根据术前患者病情及术后病灶情况,可分别选择局部切除(距病灶边缘3 cm以上)、半胃切除、胃部分切除、胃次全切除、全胃切除或根治性胃切除术.%Objectives To analyse the clinical characteristics, diagnosis and treatment of gastric schwannoma. Methods: The clinical data of 32 patients were retrospectively analysed from 1989 to 2009. Results: The manifestation in this series was as follows: abdominal pain, abdominal mass, stomach bleeding and shock, asphalt and samples. The substance of the stomach cavity, but can not be characterized by mass be showed by contrast barium stomach, BUS and CT scan. Take part living tissue by the fibergastroscope can clear diagnosis 4 cases, preoperative diagnosis
胃神经鞘瘤32例的临床诊断与外科治疗
