摘要
目的分析影像学检查及内镜、内镜医师对原发性胃淋巴瘤的术前诊断作用,探讨其术前诊断方法 ,以提高该病的术前诊断率。方法回顾性分析24例经手术治疗并病理明确诊断的原发性胃淋巴瘤资料,评估内镜活检及胃肠钡餐、内镜医师经验对该病诊断的作用。结果 24例患者中,胃肠钡餐术前诊断率为29.2%(7/24)。本院对其中22名患者实施胃镜检查29例次,活检病理诊断淋巴瘤15例,胃镜活检诊断率为51.7%(15/29),分别由4名医师检出,各检出7例、5例、2例、1例。24例术前CT检查,考虑胃癌13例,胃溃疡8例,未见明显异常3例。结论胃镜及上消化道钡餐是胃原发性淋巴瘤的主要术前诊断途径;内镜医师的经验及活检技巧对胃原发性淋巴瘤的诊断有显著影响。CT扫描能明确有无纵隔及腹腔内淋巴结肿大,为原发性胃淋巴瘤提供诊断依据。
Aim To improve the diagnosis level of primary gastric lymphoma（PGL）by analyzing the value of imaging,endoscopy and experience of endoscopic doctors.Methods The value of clinical examinations in diagnosis were retrospectively analyzred of 24 patients with pathologically confirmed primary gastric lymphoma.Results Of the total 24 patients,just 7（29.2%）patients were diagnosed exactly by Barium meal examination.These cases were examined by endoscopy for 29 times,15（51.7%）cases by endoscopic biopsy.And they were examined by four doctors,but 12（12/15）of whom were checked by two doctors,just 3 cases diagnosed by others.Most patients examined by computerized tomography were diagnosed cancer（13/24）or ulcer（8/24）.Conclusions Primary gastric lymphomas were mainly checked by endoscopic biopsy and Barium meal examination.But the diagnostic rate is still very low.The experiences of endoscopic doctors have a significant impact for diagnosis.Computerized tomography could find the thoraco-abdominal lymphnodes.
出处
《安徽医药》
CAS
2010年第6期695-697,共3页
Anhui Medical and Pharmaceutical Journal
关键词
胃肿瘤
淋巴瘤
诊断
lymphoma
diagnosis
stomach
