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ID:10724874
大小:35.00 KB
页数:11页
时间:2018-07-07
《原发性小肠淋巴瘤诊断及外科治疗》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、原发性小肠淋巴瘤诊断及外科治疗【摘要】目的探讨原发性小肠淋巴瘤(primarysmallintestinelymphoma,PSIL)的临床表现、CT特点,提出临床策略。方法回顾性分析2003年1月至2007年7月收治的15例PSIL的患者临床资料。结果15例患者中男9例,女6例,平均51.6岁。PSIL常见的临床表现为:腹痛、腹部肿物、肠梗阻、消化道出血及消瘦;血CEA、CA199均正常。术前15例均行CT检查,CT初诊检出肿瘤15例,定性诊断准确12例;15例中,11例行消化道钡餐检查,4例检出病变,仅1例提示淋巴瘤可能。15例
2、患者均行手术治疗,无围手术期死亡,术后病理结果为PSIL,术后1年生存率为85.7%。结论PSIL无特异性临床症状,消化道钡餐诊断率低,CT扫描具有一定的特征,结合临床具有较高的诊断价值。早期诊断对改善PSIL的预后十分重要,积极手术切除和辅助化疗可以获得良好效果。【关键词】淋巴瘤;小肠;诊断DiagnosisandsurgicaltreatmentofprimarysmallintestinelyphomaHUANGGui-tian,XUBo.EmergencyDepartment,GuangzhouCityIstPeople’s
3、Hospital,Guangdong51000,China11【Abstract】ObjectiveToapproachthediagnosisandtreatmentofprimarylymphomaofthesmallintestine.MethodsTheclinicaldataof15patientswithprimarylymphomaofthesmallintestinefromJanuary2003toJuly2007werereviewed.ResultsOfthe15cases,9casesweremaleand6
4、caseswerefemale,theaverageagewas51.6years.Thecommonestclinicalmanifestationwereasfollow:abdominalpain,abdominallump,bowelobstruction,alimentarytracthemorrhageandathrepsy.CEAandCA199valuesofbloodserumwerenormal.AllofthesecaseswereunderwentCTscanningbeforeoperation.In12o
5、f15caseswerefinaldiagnosisedbyCTscanning.11casesweresubjectedtoBa-mealexaminations.Positiveresultswerefoundin4cases,andonly1casewasconsideredtobePSIL.Allofthemreceivedsurgicaloperation.Thepostoperativepathologyofallthepatientswereprimarysmallintestinelymphoma.The1yearp
6、ostoperativesurvivalratewas85.7%.ConclusionPSILhadnospecificityclinicalmanifestation.Bariumstudyhadhypo-diagnosis11ratio,CTscanhadspecificdiagnosticcharacteristicsforPSIL.IncombinationwithCTscanandclinicalmanifestationexaminationsaremutuallybeneficialinthediagnosticpro
7、cess.Mostofthepatientswithprimarylymphomaofthesmallintestinewereinadvancedstageswhenoperatedordiagnosed,soearlydiagnosisandcomprehensivetherapywerethekeytoamelioratethepatients’prognosis.【Keywords】Lymphoma;Smallintestine;Imagingdiagnosis原发性小肠淋巴瘤(primarysmallintestinely
8、mphoma,PSIL)是较少见的消化道恶性肿瘤,起病隐匿,临床表现缺乏特征性,易于误诊。现收集本院2003年1月至2007年7月收治的PSIL15例,本文将结合其临床表现特征和CT特点进行综合分析、诊断并提出临床对策。1资料与方法1
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