文章摘要
黎文华龚镭金士毛胥明唐学军.原发性胃淋巴瘤临床与内镜特征分析[J].,2012,12(12):2330-2333
原发性胃淋巴瘤临床与内镜特征分析
Primary Gastric Lymphoma Clinical and EndoscopicCharacteristics Analysis
  
DOI:
中文关键词: 内镜  CT  诊断  胃淋巴瘤  原发性
英文关键词: Endoscopy  Computed tomography  Diagnosis  Gastric lymphoma  Primary
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作者单位
黎文华龚镭金士毛胥明唐学军 南京医科大学附属无锡第二医院消化内科 
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中文摘要:
      目的:探讨影像学检查及胃镜、超声内镜对原发性胃淋巴瘤的术前诊断方法,以提高该疾病的术前诊断率。方法:总结我院 经手术及病理证实的21 例原发性胃淋巴瘤资料,评估胃镜活检、超声内镜及CT 对该病诊断的作用。结果:21 例术前CT 检查, 误诊为浸润型胃癌11 例,间质瘤2 例,未见明显异常3 例。CT 术前诊断率为23.8%(5/21)。全部患者均实施胃镜检查,活检病理诊 断淋巴瘤14 例,胃镜活检诊断率为66.7%(14/21)。其中10 名患者实施超声胃镜检查,判断胃淋巴瘤6 例、胃癌3 例、间质瘤1 例; 术前诊断率为60.0%(6/10)。结论:胃镜及超声内镜是原发性胃淋巴瘤的主要术前诊断方式;CT 扫描能明确有无纵隔及腹腔内 淋巴结肿大,为原发性胃淋巴瘤提供诊断依据。
英文摘要:
      Objective: To improve the diagnosis level of primary gastric lymphoma by analyzing the value of imaging, endoscopy and endoscopic ultrasonography. Methods:The value of clinical examinations in diagnosis were retrospectively analyzred of 21 patients with pathologically confirmed primary gastric lymphoma. Results:Of the total 21 patients, Misdiagnosed as invasive cancer in 11 cases, stromal tumor in 2 cases, no obvious abnormalities in 3 cases. Only 5 (23.8%)patients were diagnosed exactly by Computed tomography. These cases were examined by endoscopy, Biopsy diagnosis of lymphoma in 14 cases, endoscopic biopsy diagnosis rate was 66.7%(14/21). Ten of these cases were examined by endoscopic ultrasonography, judgment of 6 cases of gastric lymphoma, 3 cases of gastric cancer, 1 cases of stromal tumors; preoperative diagnostic rate was 60% (6/10). Conclusions:Endoscopy and endoscopic ultrasonography in primary gastric lymphoma is the main way of preoperative diagnosis; CT scan can clearly has no mediastinal and abdominal lymph nodes, for primary gastric lymphoma provide diagnostic evidence.
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