【摘要】 目的　探讨原发性胃恶性淋巴瘤的双对比X线征象。材料与方法　对经上消化道双对比造影的 2 0例原发性胃恶性淋巴瘤的X线表现 ,从病变形态、大小、数目、部位及范围、胃腔胃壁及功能改变、胃粘膜皱襞改变等方面进行分析。结果　胃粘膜皱襞异常肥大 12例 (60 % ) ,多结节 6例 (3 0 % ) ,不规则浅大溃疡 4例 (2 0 % ) ,巨大软组织块影 2例 (10 % ) ,多种形态病灶并存 14例(70 % ) ;病变大小超过 5cm者 16例 ,占 80 % ;呈多发者 18例 (90 % ) ;胃壁增厚变僵 18例 (90 % ) ,胃蠕动减弱但存在者 2 0例 (10 0 % ) ;胃腔明显缩小狭窄仅 1例 (5 % )。结论　病变的多形性、多灶性、弥漫性及范围广泛 ,胃壁增厚但保持一定的柔软性和蠕动为原发性胃恶性淋巴瘤的重要X线征象 ,且X线与临床表现的严重程度常不成比例。上消化道双对比造影对本病的术前诊断具有较大价值。更多还原

【Abstract】 Objective To analyze the double contrast X ray findings of the primary gastric malignant lymphoma.Materials and Methods Double contrast G I series was performed in 20 cases with primary gastric malignant lymphoma. The X ray manifestations of the lesion, including its shape, size, number, site and extent, and the X ray changes in gastric wall, mucosa and gastric function, were analyzed.Results On X ray, the following signs were found: (1) hypertrophic gastric mucosal fold (n=12, 60%), irregular ulcer (n=4, 20%), huge mass (n=2, 10%), multiple shaped lesions (n=14, 70%), size of lesion >5cm (n=16, 80%), multiple masses (n=18, 90%), thickened gastric wall (n=18, 90%), weakened gastric peristalsis (n=20, 100%) and shrunken gastric lumen (n=1, 5%).Conclusion The typical X ray manifestations of primary gastric malignant lymphoma are multiple, diffuse and extensive lesions with different shape, thickened gastric wall with some flexibility and peristalsis in a certain degree. Usually, the X ray findings are not in agreement with the severity of the symptoms presented clinically. Double contrast GI series is of much value for making diagnosis preoperatively.更多还原