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目的 :分析原发性胃恶性淋巴瘤在胃肠钡餐和内镜中的表现 ,以提高该病的术前诊断率。方法 :对 37例经手术和病理学确诊为胃恶性淋巴瘤的胃肠钡餐和胃镜在诊断中的价值进行分析。结果 :胃肠钡餐对胃恶性淋巴瘤的术前诊断率为 5 2 .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。而术前联合应用胃镜和胃肠钡餐对胃淋巴瘤的诊断率可达 71.4%。结论 :提高对X线及胃镜特异性征象的认识 ,将有助于胃恶性淋巴瘤诊断率的提高。
Objective: To analyze the performance of primary gastric malignant lymphoma in barium meal and endoscopy in order to improve the preoperative diagnostic rate of the disease. Methods : The value of gastrointestinal barium meal and gastroscope in the diagnosis of 37 cases of gastric lymphoma diagnosed by surgery and pathology was analyzed. Results: The preoperative diagnosis rate of gastroenteral barium meal for gastric malignant lymphoma was 52%. The main manifestations were multinodular type (coarse type) 8 cases, ulcer type 4 cases, mass type 3 cases, infiltrating type 3 Example, mixed 7 cases. The diagnostic rate of gastroscope for gastric malignant lymphoma was only 30.8%. The main manifestations were ulcer type 7 cases, diffuse infiltration type 4 cases, mass type 5 cases, huge fold type 6 cases, mixed type 4 cases. The combination of preoperative gastroscopy and gastrointestinal barium meal diagnosis of gastric lymphoma can reach 71.4%. Conclusion : Raising awareness of X-ray and gastroscope specific signs will help improve the diagnostic rate of gastric lymphoma.