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原发性胃肠道恶性淋巴瘤的诊断与治疗

Diagnosis and treatment of primary malignant lymphoma of the gastrointestinal tract

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【作者】 徐亮王伟

【Author】 XU Liang,WANG Wei1.Affiliated Hospital of Luzhou Medical College,Luzhou 6460002.The People’s Hospital of Yaan,Yaan 625000

【机构】 泸州医学院附属医院!泸州646000四川省雅安市人民医院!雅安625000

【摘要】 目的 :探讨原发性胃肠道恶性淋巴瘤的诊断及治疗。方法 :分析我院近12年来收治的69例原发性胃肠道恶性淋巴瘤的临床资料 ,其生存率由寿命表法计算获得。结果 :本组术前确诊率为27.5 % ,其2年、5年和10年生存率分别是 :Ⅰ期91.7%、83.3%和25 % ,Ⅱ期52 %、32%和20 %。结论 :掌握本病钡餐造影的特点和内镜取材深度 ,可望提高本病的术前诊断率 ,争取手术切除 ,术后辅助化疗、放疗 ,以提高本病生存率。

【Abstract】 Objective:To study the diagnosis and treatment of primary malignant lymphoma of the gastrointestinal tract.Methods:The clinical data of 69 hospitalized patients in our hospital with primary malignant lymphoma of the gastrointestinal tract based on pathologic examination were analyzed.The survival rates were calculated by life table method.Results:The diagnostic accuracy rates of preoperation GI barium imaging and endoscopy was 27.5%.The 2,5 and 10-year survival rates of stage Ⅰ and stage Ⅱ were 91.7%,52.0%,83.3% and 32.0%,25.0%,20.0% respectively.Conclusions:The rate of preoperative diagnosis accuracy of primary malignant lymphoma of the gastrointestinal tract could be improved by fully mastering the characteristics of endoscopy and GI barium imaging.Surgical resection was recommended in the treatment,and postoperative adjuvant chemotherapy and radiotherapy might be valuable in increasing survival rate.

  • 【文献出处】 四川肿瘤防治 ,SICHUAN JOURNAL OF CANCER CONTROL , 编辑部邮箱 ,2000年03期
  • 【分类号】R733.1
  • 【被引频次】2
  • 【下载频次】46
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