直肠平滑肌肉瘤──6例报告及国内文献72例分析

Leiomyosarcoma or the rectum (Report of 6 cases and review of 72 cases)

摘要: 本组收集78例直肠平滑肌肉瘤(本院6例，国内文献72例)患者。男性45例，女性33例；年龄1～79岁。主要临床症状为：肛门坠痛(55.1%)，便秘(53.8%)，血便(37.2%)，大便变形(35.9%)，腹泻(16.7%)，排尿困难(5.1%)。97.4%的患者进行了手术治疗，其中Miles术54例，肿瘤部分切除术16例，结肠造瘘术6例，放疗1例，放弃治疗1例。本文对直肠平滑肌肉瘤的发病率、病理、诊断和治疗进行了讨论。

Abstract: Six cases of leiomyosarcoma of the rectum are reported with a review of 72 cases reported from 1949 through 1993 in our courtry. The diseas is rare'.Forty-five patients were males and 33 females.The rarge of the age was 1 -79 years.The main clinical manfestation consisted of rectal pain (55.1%),constipation (53.8%),rectal bleeding(37.2%),distortion of feces(35.9%),diarrhea(16.7 %),dysuria(5.1%).97.4% patients underwent surgical operation. Finally,the incidence,pathology,diagnosis method and treatment of the leiomyosarcoma of the rectum are discussed with a review of literature.