[目的]探讨胃肠道类癌的诊断及合理外科治疗方法。[方法]回顾分析我院1984年~2001年诊治的胃肠道类癌29例的诊断、手术方式和疗效。[结果]①消化道类癌早期无特异性表现,胃类癌患者主要表现为上腹部不适5例、进食后不适2例;而肠类癌主要表现为大便习惯改变14例(63.6%)、大便带血9例(40.9%)、腹块6例(27.3%)、腹痛5例(27.3%)。②胃类癌的手术方式包括胃大部切除术6例及剖腹探查术1例,而肠类癌的手术方式是右半结肠切除术4例、Dixon手术2例、Miles手术1例及经肛局切术15例。③全部病例随防16～120个月,3例广泛转移者生存在2年以内,20例生存5年以上、6例已生存2年以上。[结论]胃肠道类癌的早期诊断较为困难,合理的外科治疗对提高胃肠道类癌患者的预后有重要意义。 [Objective] To investigate the diagnosis and reasonable surgical treatment of gastrointestinal carcinoid. [Methods] Retrospectively analyze the diagnosis, operation method and curative effect of 29 cases of gastrointestinal cancer diagnosed and treated in our hospital from 1984 to 2001. [Results] There was no specific manifestation in the early stage of gastrointestinal carcinoid. Gastric cancer mainly manifested in 5 cases of upper abdominal discomfort and 2 cases of discomfort after eating. The main manifestations of intestinal carcinoid were stool habit change in 14 cases (63.6%), Stool bloody in 9 cases (40.9%), abdominal mass in 6 cases (27.3%), abdominal pain in 5 cases (27.3%). ② Gastric cancer operation methods include subtotal gastrectomy in 6 cases and laparotomy in 1 case, while the intestinal carcinoid surgery is the right half of the colon resection in 4 cases, Dixon surgery in 2 cases, Miles surgery in 1 case and anal through the anus Bureaucision in 15 cases. All cases were followed up for 16 to 120 months, 3 cases had extensive metastasis within 2 years, 20 cases survived for more than 5 years and 6 cases survived for more than 2 years. [Conclusion] The early diagnosis of gastrointestinal carcinoid is difficult, and reasonable surgical treatment is of great significance to improve the prognosis of patients with gastrointestinal carcinoid.