| 胃黏膜相关淋巴组织淋巴瘤诊断和治疗的临床分析 |
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| 引用本文： | 李涛,陈凛,李荣,卫勃. 胃黏膜相关淋巴组织淋巴瘤诊断和治疗的临床分析[J]. 临床外科杂志, 2005, 13(11): 696-697 |
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| 作者姓名： | 李涛 陈凛 李荣 卫勃 |
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| 作者单位： | 100853,北京,解放军总医院普通外科二区;100853,北京,解放军总医院普通外科二区;100853,北京,解放军总医院普通外科二区;100853,北京,解放军总医院普通外科二区 |
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| 摘 要： | 目的总结胃黏膜相关淋巴组织(mucosa-associated lymphoid tissue,MALT)淋巴瘤临床诊治经验,分析影响诊断、治疗和预后的因素。方法回顾性分析我院57例胃MALT淋巴瘤临床资料。结果胃MALT淋巴瘤术前诊断率低于胃癌。手术组患者5年生存率明显高于非手术组(P<0.05)。结论MALT诊断主要依靠内镜活检为主,多种方法联合可明显提高本病诊断率。手术为主联合辅助治疗效果最佳。肿瘤临床分期、病灶大小、是否手术切除是影响预后的主要因素。
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| 关 键 词： | 淋巴瘤 诊断 外科治疗 |
| 文章编号： | 1005-6483（2005）11-0696-02 |
| 收稿时间： | 2005-05-08 |
| 修稿时间： | 2005-05-08 |
Diagnosis and treatment of gastric mucosa-associated lymphoid tissue lymphoma |
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| LI Tao, CHEN Lin, LI Rong,et al.. Diagnosis and treatment of gastric mucosa-associated lymphoid tissue lymphoma[J]. Journal of Clinical Surgery, 2005, 13(11): 696-697 |
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| Authors: | LI Tao CHEN Lin LI Rong et al. |
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| Affiliation: | Department of General Surgery, General Hospital of PLA, Beijing 100853, China |
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| Abstract: | Objective To summarize the experience of management of gastric mucosa-associated lymphoid tissue lymphoma and to analyze the factors influencing the results of diagnosis,treatment and prognosis.Methods The data of 57 cases of gastric mucosa-associated lymphoid tissue lymphoma in General Hospital of PLA were reviewed retrospectively.Results In these cases,preoperative diagnosis rate was lower than gastric cancer.5-year survival of the patients undergoing surgery was higher than those not subject to operation(P<0.05).Conclusion Pathologic test through gastroscopy is still main method for diagnosis.Combined use of other diagnostic methods may improve the diagnostic accuracy significantly.Surgical resection and adjuvant therapy guarantee the improvement of survival.Clinical staging,tumor size,and radical surgery are main factors to judge the prognosis. |
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| Keywords: | lymphoma diagnosis surgical procedures operative |
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