原发性肠道恶性淋巴瘤25例临床分析

目的　探讨原发性肠道恶性淋巴瘤的临床特点及诊断方法 ,分析其误诊原因。方法　回顾性分析 2 5例原发性肠道恶性淋巴瘤的临床资料及术前诊断方法。结果　肠恶性淋巴瘤以腹痛及腹部肿块为主要症状 ,分别占80 %及 72 %;消化道钡餐诊断率 9%,内镜结合活检确诊率 4 3%。结论　原发性肠道恶性淋巴瘤易和肠道其他疾病混淆 ,内镜结合活检对其确诊率最高 ,多块深部取材可提高检出率 ,联合应用纤维肠镜及X线双重对比造影有助于提高诊断率

Clinical analysis of 25 cases of primary malignant lymphoma of intestinal tract

Objective To explore the clinical characteristics,diagnoses and the causes of misdiagnosis of primary malignant lymphoma of intestinal tract .Methods The clinical data and preoperative diagnoses of 25 cases with primary malignant lymphoma of intestinal tract were analyzed retrospectively.Results The major clinical symptoms of primary malignant lymphoma of intestinal tract included abdominal pain(80%) and abdominal mass(72%).The diagnosis rate of digestive tract barium meal was 9% .The rate of definite diagnosis of endoscope combined with biopsy was 43%.Conclusion Primary malignant lymphoma of intestinal tract is easily confused with other diseases.The definite rate of diagnosis of endoscope combined with biopsy is the highest.Poly mass and deep part biopsy is helpful in diagnosis.Moreover,Double contrast radiography combined with fiber enteroscope can also help to enhance the diagnosis rate.