小肠间质瘤的临床特征、诊断与治疗措施

近年来,随着对小肠疾病检出方法的不断完善,对小肠疾病的诊断有了进一步的认识；本文通过比较各种用于小肠肿瘤检出的方法(包括消化道造影、腹部CT、DSA、内窥镜检查、腹部核素扫描、PET等),基本确立小肠间质瘤的诊断流程。再结合临床特征、病理学、以及免疫组化检查,最终确诊小肠间质瘤。手术切除是目前最有效的治疗方法,对于高度怀疑小肠间质瘤的患者,应尽早手术探查；此外,对于不可切除的、复发的、已有转移的间质瘤患者可用伊马替尼治疗。

Diagnosis and treatment of small bowel stromal tumors

The aim of this review is to compare the diagnostic yield of different modalities on diagnosing small bowel stromal tumors,such as small bowel enteroclysis,abdominal CT scanner,DSA,enteroscopy,PET.The final diagnosis of SBST is based on pathology and histoimmunology decisions as well as clinical features.The most effective therapy is operation removal,and Glivec might help in those patients with metastasis,recurrence and/or losing surgical opportunity.Highly suspe- ciousness of SBST could be indication for surgical exploration.