【摘要】 目的 探讨生长抑素类似物治疗消化道类癌的病理药理机制及其效果。 方法 6例患者中，5例经手术切除病灶，病理检查确诊，其中手术发现肝转移1例，病灶为多发结节性，术后复发2例，手术组无一例死亡。保守治疗1例，6例患者均应用生长抑素治疗。 结果 本组病例经4年随访无一例死亡，应用生长抑素治疗，症状全部控制。 结论 消化道类癌临床少见，易误诊，临床诊断相对困难，多以临床表现或手术探查病理确诊，既往治疗多以化疗为主，间歇期加用免疫治疗，效果不甚理想。本组病例应用生长抑素(奥曲肽)治疗，较好控制了症状，明显提高了生活质量，延长了生存时间，效果满意。

    关键词 生长抑素类似物 类癌 诊断治疗

    Clinical observation of endocrine therapy of alimentary carcinoid

    with Sandostatin and somatostatin:six cases attached

    Hong Qiang

    Department of General Surgery，Caidian Hospital of Traditional Chinese Medicine，Wuhan430100.

    【Abstract】 Objective To discuss pharmacological mechanism and the effect on endocrine therapy on alimen-tary carcinoid with Sandostatin and somatostatin(SMS).Methods 6patients with alimentary carcinoid in our hospital were analyzed retrospectively according to domestic and overseas documentations.All cases were treated with Sando-statin and SMS.The tumors were resected in5of6cases.Results The clinical symptoms of all cases were released by endocrine therapywith Sandostatin and SMS ......