原发性小肠淋巴瘤的外科诊断与处理  

Surgical diagnosis and treatment of primary small intestinal lymphoma in children

作　　者：包楠[1] 张晓伦[1] 刘菁[1] 张薇薇[1] 管考平[1] 张艳[1] 董宁[1] 

机构地区：[1]首都儿科研究所附属儿童医院外科,北京100020

出　　处：《中国小儿血液与肿瘤杂志》2011年第5期210-213,F0003,共5页Journal of China Pediatric Blood and Cancer

摘　　要：目的探讨小肠淋巴瘤与外科急腹症之间的鉴别诊断,以便采取正确的处理方法及早诊断和治疗。方法对我院2000-2011年外科收治的10例小肠淋巴瘤患儿进行回顾性分析。结果 10例患儿中8例入院时诊断为阑尾炎或阑尾脓肿,2例诊断为急性肠套叠,经过反复分析病史,结合影像学所见,实行开腹探查。术中快速冰冻病理检查,确诊为小肠淋巴瘤,术后转入血液科继续治疗。结论对于症状不典型及经相应治疗效果不佳,诊断不明确的外科急腹症患儿,应结合病史及影像学结果警惕小肠淋巴瘤,建议及时开腹探查,病理诊断。ObjectiveTo study the surgical diagnosis and treatment of primary small intestine lymphoma（PSIL） in children.MethodsTen cases with PSIL treated in our department from 2000 to 2011 were reviewed retrospectively.ResultsAll cases were misdiagnosed as acute surgical abdominal pain on admission.Among them,8 were diagnosed as appendicitis or appendiceal abscess,2 were diagnosed as acute intussusception.After reviewing the clinical manifestations and imagings repeatedly,the PSIL were considerd.The diagnosis was confirmed by exploratory laparotomy and pathological study of frozen section.They were referred to hematology department postoperatively for chemotherapy.ConclusionsIt is very important to have CT scan and exploratory laparotomy for patients with acute abdominal pain accompanied by atypical clinical manifestations and inappropriate treatment results,which could avoid the misdiagnosis of PSIL.

关 键 词：原发性小肠淋巴瘤 诊断 急腹症 

分 类 号：R735.3[医药卫生—肿瘤]