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目的 探讨提高原发性胃淋巴瘤的诊治水平。方法 回顾性分析３６ 例胃淋巴瘤病例。结果 在本组资料中，病理分期（Ａｒｂｏｒ 标准）为ⅠＥ 期１５ 例，ⅡＥ 期７ 例，ⅢＥ 期８ 例，ⅣＥ 期６ 例；术前误诊率为２２－２％ ，手术切除率为７２－２％ 。手术加化疗５ 年生存率，低度恶性胃淋巴瘤为８７－４％ ，高度恶性胃淋巴瘤为５２－１％ ；单纯化疗时高度恶性胃淋巴瘤５ 年生存率仅为１７－６ ％ 。结论 早期诊断、切除胃的原发病灶加术后联合化疗是提高原发性胃淋巴瘤生存率的主要因素。
Objective To explore the level of diagnosis and treatment of primary gastric lymphoma. Methods Retrospective analysis of 36 cases of gastric lymphoma. Results In this group of data, the pathological stage (Arbor criteria) was 15 cases in IE stage, 7 cases in IIE stage, 8 cases in IIIE stage, and 6 cases in IVE stage. The preoperative misdiagnosis rate was 22-2%, and the surgical resection rate was 72- 2%. The 5-year survival rate of surgery plus chemotherapy was 87-4% for low-grade gastric lymphoma and 52-1% for highly malignant gastric lymphoma. The 5-year survival rate of highly malignant gastric lymphoma with chemotherapy alone was only 17-6 %. Conclusion Early diagnosis, resection of the primary lesions of the stomach and postoperative combined chemotherapy are the main factors to increase the survival rate of primary gastric lymphoma.