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目的:探讨螺旋CT对胃原发淋巴瘤中的诊断价值。方法:回顾性分析本院近年来22例胃原发性淋巴瘤的CT图像信息,由两位主治以上医师进行诊断,其结果与胃镜下活检及术后病理进行比较分析。结果:21例CT术前诊断为淋巴瘤,1例CT术前误诊为胃癌;螺旋CT在胃原发淋巴瘤中诊断正确率约95.5%;22例胃原发淋巴瘤病理结果如下,其中12例为弥漫性B细胞性,5例为黏膜相关淋巴组织(MALT)淋巴瘤,2例为T细胞性淋巴瘤,3例为滤泡性淋巴瘤。结论:螺旋CT可准确诊断胃原发性淋巴瘤。
Objective: To investigate the diagnostic value of spiral CT in primary gastric lymphoma. Methods: A retrospective analysis of 22 cases of gastric primary lymphoma in our hospital in recent years, CT image information, diagnosed by two attending physicians, the results of endoscopic biopsy and postoperative pathology were analyzed. Results: Twenty-one cases were diagnosed as lymphoma by CT preoperatively and one case was misdiagnosed as gastric cancer before CT. The accuracy of spiral CT was 95.5% in diagnosis of primary gastric lymphoma. The pathological results of 22 cases of primary gastric lymphoma were as follows 5 cases were MALT lymphoma, 2 were T-cell lymphoma and 3 were follicular lymphoma. Conclusion: Spiral CT can accurately diagnose gastric primary lymphoma.