【摘要】 目的对原发性胃肠道淋巴瘤的诊断及治疗效果进行探析。方法以我院2009年1月至2012年12月治疗的70例原发性胃肠道淋巴瘤患者为研究对象,回顾分析患者的临床资料。结果 70例患者在我院治疗后,4例患者死亡,66例患者均出院,临床有效率为94.3%。70例患者的分期如下:28例ⅠE期,20例ⅡE期,12例ⅢE期,10例ⅣE期。胃淋巴瘤与肠淋巴瘤患者在性别、年龄、临床分期以及手术根治性等方面无显著统计学意义(P>0.05)。但在细胞来源上存在较大差异性(P<0.05)。结论晚期原发性胃肠道淋巴瘤极容易与癌肿混淆,易造成误诊率。目前术前诊断中,多选用消化道造影与内镜活检,但是受到翻膜深层胃肠淋巴瘤的影响,阳性检出率较低,需充分结合患者实际情况,给予个体化综合治疗,以提高患者的临床治疗效果。更多还原

【Abstract】 Objective The diagnosis and treatment of primary gastrointestinal lymphoma were in China. Methods In our hospital from January 2009 to December 2012 treated 70 cases of primary gastrointestinal lymphoma patients for the study, retrospective analysis of clinical data. Results 70 patients in our hospital after treatment, four patients died, 66 patients were discharged from hospital, clinical effective rate was 94.3%. 70 patients installments as follows: 28 cases ⅠE period, 20 cases ⅡE period, 12 cases ⅢE period, 10 cases ⅣE period. Gastric lymphoma and intestinal lymphoma patients with no significant difference(P> 0.05) in sex, age, clinical stage and radical surgery and other aspects. But there is a big difference(P <0.05) on the cell origin. Conclusion Late primary gastrointestinal lymphoma very easy to be confused with cancer, could easily lead to misdiagnosis rate. Currently preoperative diagnosis, more choice gastrointestinal imaging and endoscopic biopsy, but the film is deeply affected by the turn of gastrointestinal lymphoma, the positive rate is low, the actualsituation of the patient need to be fully integrated, giving individualized comprehensive treatment to improve clinical patient outcomes.更多还原