消化道平滑肌肿瘤216例诊断分析

目的：探讨消化道平滑肌肿瘤的临床特点和诊断方法,以期提高该病的早期诊断常。方法：回顾性分析了我院1964～2002年收治的消化道平滑肌肿瘤216例,均经手术和病理证实。结果：平滑肌瘤(LM)112例,平滑肌肉瘤(IS)104例。消化道出血、腹块、腹痛为胃肠平滑肌肿瘤三大主要临床表现。本组术前诊断率为64．35％,钡餐造影诊断75例,内镜检查诊断80例,超声内镜诊断16例,CT诊断15例,血管造影诊断11例,小肠气钡造影诊断2例。结论：评价诊断方法的选择,钡餐、内镜检查是主要诊断方法;超声内镜、血管造影有重要诊断价值;CT对诊断有很大帮助,尤其对腔外型病变。

Diagnosis of Smooth Muscle Tumors of Analimentary Tract:Analysis of 216 Cases

Objective:To study the diagnostic methods and clinical features for 216 patients with smooth muscle tumors of alimentary tract. So as to improve the early diagnosis. Methods:216 cases with smooth muscle tumors of alimentary tract treated from 1964 to 2002 in our hospital were analyzed,retrospectively. All were comfirmed by surgery and pathology. Results:The lesions included 112 leiomyomas and 102 leiomyosarcomas.The most common symptoms of tumors in the stomach and intestine were gastrointestinal bleeding, abdominal mass and abdominal pain. The preoperative diagnosis rate was 64.35 % in this series.The lesions were diagnosed by barium studies in75,endoscopy in 80.endoscopic ultrasonography in 16,CT scan in 15,angiography in 11,en-teroclysis in 2 cases. Conclusion: Among these diagnostic methods, barium studies and endoscopy are the most main diagnostic methods,endoscope, ultrasonography and angiography have high value, CT scan is very helpful, especially for extracavitary type tumors.