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胃黏膜相关淋巴组织淋巴瘤临床与胃镜表现分析

Analysis of clinical and endoscopic features of gastric mucosa-associated lymphoid tissue lymphoma

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【作者】 禹晶张秉全林佰艳翟雅娟王文斌

【Author】 YU Jing;ZHANG Bingquan;LIN Baiyan;ZHAI Yajuan;WANG Wenbin;Department of Gastroenterology,the Second Affiliated Hospital of Qiqihaer Medical College;

【机构】 齐齐哈尔医学院附属第二医院消化内科

【摘要】 目的探讨胃黏膜相关淋巴组织(mucosa-associated lymphoid tissue,MALT)淋巴瘤临床和内镜下表现特征,提高其在胃镜下的早期诊断率。方法对15例胃MALT淋巴瘤患者临床和内镜下表现特征进行回顾性分析。结果胃MALT淋巴瘤多见于40~60岁患者,男女发病率相近。临床症状无特异性,H.pylori感染率为73.33%。胃MALT淋巴瘤多位于胃窦部,66.67%表现为单个或多个溃疡,质地偏硬,蠕动性及胃腔形态无明显特异性。结论胃MALT淋巴瘤作为一类特殊的原发性胃淋巴瘤,内镜下多块、深而大的活检有助于提高确诊率。

【Abstract】 Objective To investigate the endoscopic and clinical features of gastric mucosa-associated lymphoid tissue(MALT) lymphoma in order to improve its diagnostic rate. Methods The clinical characteristics and endoscopic findings were retrospectively analyzed in 15 patients with gastric MALT lymphoma. Results They occurred more frequently from 40 to 60 years,the incidence was similar in male and female. The symptoms were nonspecific,helicobacter pylori(H. pylori) infection rate was 73. 3%. Gastric MALT lymphoma was mainly located in the gastric antrum,the66. 67% patients indicated a single or multiple canker,slightly hard,gastric cavity and gastric peristalsis were nonspecific. Conclusion Gastric MALT lymphoma is a special primary gastric lymphoma,multi-point biopsy and deep biopsy can improve diagnostic rate.

  • 【文献出处】 胃肠病学和肝病学杂志 ,Chinese Journal of Gastroenterology and Hepatology , 编辑部邮箱 ,2014年09期
  • 【分类号】R735.2
  • 【被引频次】6
  • 【下载频次】132
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