CAJ | 학술논문

目的：分析和整理原发性胃淋巴瘤的临床特点，探讨原发性胃淋巴瘤各项诊断方法对该疾病诊断的贡献比例，提高对原发性胃淋巴瘤的临床表现及诊断方法的认识，减少误诊率。方法对26例经病理学确诊的原发性胃淋巴瘤患者的临床表现及诊断方法进行回顾性描述分析。结果本研究病理显示发病年龄为23~78岁，男女发病率比为2.25：1；多数为腹痛、腹胀，其次为恶心、呕吐、纳差、消瘦等；26例患者中腹部B超检查提示恶性肿瘤占15.8%，CT检查结合临床考虑胃淋巴瘤占21.7%，普通胃镜检查考虑胃淋巴瘤占40.9%，超声胃镜检查考虑胃淋巴瘤占75%。结论胃淋巴瘤临床表现多为上腹部不适，但不典型且无明显特异。不同检查方法对诊断原发性胃淋巴瘤的贡献价值有差异，但最准确且微创的方法为超声胃镜。通过本研究可见对怀疑胃淋巴瘤的患者可行超声内镜检查，有利于提高原发性胃淋巴瘤的诊断率。
목적：분석화정리원발성위림파류적림상특점，탐토원발성위림파류각항진단방법대해질병진단적공헌비례，제고대원발성위림파류적림상표현급진단방법적인식，감소오진솔。방법대26례경병이학학진적원발성위림파류환자적림상표현급진단방법진행회고성묘술분석。결과본연구병리현시발병년령위23~78세，남녀발병솔비위2.25：1；다수위복통、복창，기차위악심、구토、납차、소수등；26례환자중복부B초검사제시악성종류점15.8%，CT검사결합림상고필위림파류점21.7%，보통위경검사고필위림파류점40.9%，초성위경검사고필위림파류점75%。결론위림파류림상표현다위상복부불괄，단불전형차무명현특이。불동검사방법대진단원발성위림파류적공헌개치유차이，단최준학차미창적방법위초성위경。통과본연구가견대부의위림파류적환자가행초성내경검사，유리우제고원발성위림파류적진단솔。
Objective To analyze and sorte the clinical characteristics of primary gastric lym-phoma,and investigate the contributions to the various diagnostic methods on gastric lymphoma diagno-sis,so as to improve the awareness of the diagnosis and treatment of gastric lymphoma and reduce the misdiagnosis rate. Methods The clinical manifestations and diagnostic methods of 26 cases pathology confirmed with primary gastric lymphoma were retrospectively analyzed. Results The onset age of the primary gastric lymphoma were 27-38 ages. The incidence ratio of men and women was 2. 25:1. The main symptoms were abdominal pain and abdominal distension,followed by nausea,vomiting,poor appe-tite and emaciation. Among these 26 cases,ultrasound examination showed that malignant tumor account-ing for 15. 8%. Primary gastric lymphoma accounting for 21. 7%,confirmed by CT and clinical manifes-tation. By gastroscopy,primary gastric lymphoma accounting for 40. 9%. By ultrasonic gastroscopy,pri-mary gastric lymphoma accounting for 75%. Conclusions The clinical manifestations of gastric lympho-ma are not typical. The main symptoms were epigastric discomfort,atypical and nonspecific. Different in-spection methods for diagnosing gastric lymphoma contribution value is different. The accurate and mini-mally invasive method is the biopsy under ultrasound gastroscope. Sespected cases of primary gastric lym-phoma should have ultrasonic gastroscopy,in order to improve the diagnosis of gastric lymphoma.