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目的分析原发性胃肠道恶性淋巴瘤X线钡餐造影及CT诊断,指导临床治疗。方法回顾性分析我院36例原发性胃肠道恶性淋巴瘤病例。提高其X线及CT诊断水平。结果 36例均行钡餐造影检查,见胃肠溃疡性钡斑及充盈缺损18例。肠管浸润性改变即肠管狭窄与扩张并存10例黏膜不规则改变3例。其中5例无阳性改变。28例行CT造影检查见胃肠道壁增厚、溃疡及息肉等。8例经内窥镜检查可见黏膜溃疡及突起的肿块。结论内窥镜检查是诊断胃、大肠淋巴瘤的重要检查手段,还需要结合刷检。X线钡餐造影是诊断小肠淋巴瘤的重要检查手段,与CT检查结合可进一步提高诊断率。必要时手术探查。
Objective To analyze the X-ray barium meal radiography and CT diagnosis of primary gastrointestinal malignant lymphoma and to guide the clinical treatment. Methods Retrospective analysis of 36 cases of primary gastrointestinal malignant lymphoma in our hospital. Improve their X-ray and CT diagnostic level. Results 36 patients underwent barium meal angiography, see 18 cases of gastrointestinal ulcerative baria and filling defect. Intestinal invasion changes that intestinal stenosis and expansion coexist 10 cases of mucosal irregular change in 3 cases. No positive changes in 5 cases. 28 routine CT angiography see gastrointestinal wall thickening, ulcers and polyps. 8 cases of endoscopic mucosal ulceration and protruding mass. Conclusions Endoscopy is an important method to diagnose gastric and colorectal lymphoma, and it needs to be combined with brush test. X-ray barium meal angiography is an important means of diagnosis of small bowel lymphoma examination, combined with CT examination can further improve the diagnostic rate. Surgical exploration if necessary