张方捷,金慧成,叶 静.34例胃肠间质瘤相关急腹症诊治分析[J].肿瘤学杂志,2014,20(9):742-745.
34例胃肠间质瘤相关急腹症诊治分析
Diagnosis and Treatment for 34 Cases of Acute Abdomen Associated with Gastrointestinal Stromal Tumor
投稿时间:2014-05-02  
DOI:10.11735/j.issn.1671-170X.2014.09.B011
中文关键词:  胃肠间质瘤  急腹症  外科手术
英文关键词:gastrointestinal stromal tumors  acute abdomen  surgery
基金项目:
作者单位
张方捷 杭州市第一人民医院 
金慧成 杭州市第一人民医院 
叶 静 杭州市第一人民医院 
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中文摘要:
      摘 要:[目的] 探讨胃肠间质瘤(GIST)所引起相关急腹症的诊治。[方法] 对急诊收治入院且病理证实的34例GIST患者的临床表现、检查资料、手术和生存情况进行分析。[结果] 34例患者中有消化道出血18例,腹腔出血4例,肠梗阻8例,肿瘤破裂与穿孔4例。29例行根治性切除(90.6%)。3年生存率为88.1%,5年生存率80.4%。[结论] 首诊医师应熟悉GIST相关急腹症,早期诊断与手术切除可显著提高患者生存率。
英文摘要:
      Abstract:[Purpose]To investigate the diagnosis and treatment of acute abdomen associated with gastrointestinal stromal tumor(GIST). [Methods] Clinical manifestation,examination data,surgical procedures and survival data of 34 emergency cases with GIST pathologically proven were analyzed. [Results] The common frequent presenting symptom was gastrointestinal bleeding in 18 cases,intraperitoneal hemorrhage in 4 cases,intestinal obstruction in 8 cases,and rupture or perforation in 4 cases. Radical resection was performed in 29 cases (90.6%). The 3- and 5-year overall survival rates were 88.1% and 80.4% respectively. [Conclusion] First attending doctors should acquaint with acute abdomen associated with GIST. Early diagnosis and surgery can improve the survival of the GIST patients.
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