本文对我院11年间收治的23例胃原发性恶性淋巴瘤的诊断、治疗和预后因素进行了分析探讨。本病的病史及体征无特殊性,术前诊断困难,本组术前确诊率为22％(5/23)。治疗方面主张采取以手术为主的化疗、放疗等多方法治疗,重点探讨了联合化疗的作用和地位。影响预后的主要因素为病期和治疗方法是否得当。 This article analyzes the diagnosis, treatment and prognostic factors of 23 cases of gastric primary malignant lymphoma treated in our hospital for 11 years. The history and physical signs of the disease were not specific. Preoperative diagnosis was difficult. The preoperative diagnosis rate in this group was 22% (5/23). The treatment advocates the use of surgery-based chemotherapy, radiotherapy, and other methods of treatment, focusing on the role and status of combination chemotherapy. The main factors affecting prognosis are whether the disease period and treatment are appropriate.