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目的 :探讨小肠平滑肌肉瘤这一不常见疾病的诊治规律。方法 :对比研究本组 12例小肠平滑肌肉瘤的术前、术中及术后诊断 ,剖析小肠平滑肌肉瘤的临床特点 ,比较其与急诊处理腹部外科常见疾病的异同。结果 :急诊术前误诊率为 10 0 % ,急诊术中误诊率为 5 0 % ,术中选择手术方式的合格率占 6 6 .7%。急诊未能行根治术者 5 0 %近期复发。结论 :小肠平滑肌肉瘤的特点是术前相当难以明确诊断 ,提高对小肠平滑肌肉瘤的术中认识及诊断水平 ,选择合理的手术方式 ,同时坚持根治原则及无瘤操作的原则 ,以确保治疗效果。
Objective: To investigate the diagnosis and treatment of this rare disease of intestinal leiomyosarcoma. Methods: The comparative study of the group of 12 cases of small bowel leiomyosarcoma before, during and after diagnosis, analysis of the clinical features of small bowel leiomyosarcoma, and emergency treatment of abdominal surgery common diseases similarities and differences. Results: The preoperative misdiagnosis rate was 100%, the rate of misdiagnosis in emergency surgery was 50%, and the qualified rate of intraoperative operative procedure was 66.7%. Emergency 50% of patients who did not undergo radical surgery recently relapsed. Conclusions: The characteristic of small bowel leiomyosarcoma is that it is quite difficult to confirm the diagnosis preoperatively, to improve the level of intraoperative awareness and diagnosis of small bowel leiomyosarcoma, and to choose a reasonable surgical approach. At the same time, we should adhere to the principle of radical and tumor-free operation to ensure the therapeutic effect.