摘要
目的 分析原发性胃恶性淋巴瘤在胃肠钡餐和胃镜中的表现 ,以提高该病的术前诊断率。方法 对胃肠钡餐和胃镜在 37例经手术和病理学确诊的胃恶性淋巴瘤的诊断价值进行分析。结果 胃肠钡餐对胃恶性淋巴瘤的术前诊断率为 52 0 % ,主要表现为多结节型 (粗大皱襞型 ) 8例 ,溃疡型 4例 ,肿块型 3例 ,浸润型 3例 ,混合型 7例 ;胃镜对胃恶性淋巴瘤的诊断率仅有 30 8% ,主要表现分为溃疡型 7例 ,弥漫浸润型 4例 ,肿块型 5例 ,巨大皱襞型 6例 ,混合型 4例。而术前胃镜和胃肠钡餐联合应用可使胃淋巴瘤的诊断率提高到 71 4 %。结论 加强对胃恶性淋巴瘤的重视 ,提高对X线及胃镜特异性征象的认识 。
Objective To analysis the manifestation of primary gastric malignant lymphoma(PGL) under gastrointestinal barium meal(GIBM) and gastroscopy in order to increase preoperating diagnosis of PGL.Methods Values of gastrointestinal barium meal and gastroscopy were analyzed in diagnosing PGL.All PGL were verified by operation and pathology.Results Using GIBM preoperating diagnostic rate of PGL was 52 percent,including multituberculated type 8 cases,ulcerative type 4 cases,tumour type 3 cases,infiltrative type 3 cases,mixed type 7 cases;The gastroscopy preoperating diagnostic rate of PGL was 30.8 percent,including ulcerative type 7 cases,infiltrative type 4 cases,tumour type 5 cases,huge wrinkle type 6 cases,mixed type 4 cases.The barium meal combined with gastrscopy in diagnosing PGL was 71.4 percent.Conclusions Emphasizing the importance of PGL,deepgoing understanding to distinctive signs of PLG on X-ray and gastroscopy and a combined application of multiple diagnosing means might improve the diagnostic rate of PGL in preoperation.
出处
《中国医师杂志》
CAS
2001年第6期417-419,共3页
Journal of Chinese Physician
关键词
胃恶性淋巴瘤
诊断
胃肠钡餐
胃镜
Primary gastric malignant lymphoma
Diagnosis
Gastrointestinal barium meal
Gastroscopy
