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目的讨论胃黏膜相关淋巴组织淋巴瘤在内镜下的特点对诊断的价值。方法回顾2010年1月～2012年10月间诊断为胃黏膜相关淋巴组织淋巴瘤患者30例的病历,总结其内镜检查下的共同点,分析其病理共性与特异性,找到临床诊断的依据。结果本组中,临床症状的共同点是上腹部疼痛、恶心泛酸、食欲不振、消瘦、黑便、贫血、检查可见便潜血,内镜下的共同点是病变一般在胃体和胃窦位置,并以胃内壁表面有溃疡面,局部胃壁增厚有硬结,胃蠕动明显减弱,有出血迹象,与胃溃疡或胃癌无明显特异性,其分型主要有溃疡型、隆起型和浸润型,鉴别诊断以胃镜检查配合活体病理检查为主。结论对胃黏膜相关淋巴组织淋巴瘤诊断,以内镜检查为主,对不确定者,配合组织病理检查,可提高诊断准确率。
Objective To discuss the value of endoscopic diagnosis of gastric mucosa-associated lymphoid tissue lymphoma. Methods The clinical data of 30 cases diagnosed as gastric mucosa-associated lymphoid tissue lymphoma from January 2010 to October 2012 were retrospectively analyzed. The common features under endoscopy were summarized, and their common and specific pathologies were analyzed to find out the basis of clinical diagnosis . Results In this group, common clinical symptoms are upper abdominal pain, nausea, pantotosis, loss of appetite, weight loss, melena, anemia, examination showed occult blood, endoscopic common point is the lesion is generally in the gastric body and antrum, And the surface of the stomach wall with ulcers, local thickening of the stomach wall induration, gastric motility was significantly weakened, bleeding signs, and gastric ulcer or gastric cancer was no specific specificity, the main types of ulcers, uplift and infiltration, identification Diagnosis with endoscopy with biopsy-based. Conclusion The diagnosis of gastric mucosa-associated lymphoid tissue lymphoma is mainly endoscopy, and for the uncertain, combined with histopathological examination, can improve the diagnostic accuracy.