CT联合微超声探头检查对原发性胃肠道恶性淋巴瘤的诊断价值  

CT scan and endoscopic ultrasonography in diagnosis of primary gastrointestinal malignant lymphoma

作　　者：李力[1,2] 金震东[1] 蔡敏[2] 程峰涛[2] 王斌[2] 

机构地区：[1]第二军医大学附属长海医院消化内科,上海200433 [2]上海市杨浦区中心医院消化内科,上海200090

出　　处：《同济大学学报（医学版）》2014年第1期110-113,共4页Journal of Tongji University(Medical Science)

摘　　要：目的探讨原发性胃肠道恶性淋巴瘤的临床特点及CT、X线、内镜、超声内镜下表现,以获得早期诊断及治疗。方法回顾分析2004年1月至2012年8月42例原发性胃肠道恶性淋巴瘤患者的临床资料。结果 42例原发性胃肠道恶性淋巴瘤主要临床表现为中上腹痛、消化道出血。好发部位为胃窦,其次为胃体及胃底。内镜活检确诊率52.3%,超声内镜确诊率78.5%,CT确诊率47.6%,X线确诊率33.3%,超声内镜联合CT确诊率90.5%。免疫分型以B细胞淋巴瘤为主(95.2%)。结论 CT联合微超声探头检查及深层次、多次、多部位活检可提高原发性胃肠道恶性淋巴瘤确诊率。Objective To assess the value of CT scan and endoscopic ultrasonography （EUS） in diagnosis of primary gastrointestinal malignant lymphoma （PGIML）. Methods The clinical data of 42 cases with PGIML admitted from 2004 to 2012 were retrospectively analyzed. Results The main clinical manifestations of PGIML were abdominal pain, upper and lower gastrointestinal tract bleeding. The common location of PGIML was in stomach （26/42, 61.9% ）. The positive rate of endoscopic biopsy, EUS, X-ray, CT and EUS combined with CT for diagnosis of PGIML was 52.3 % （22/42）, 78.5% （33/42）, 33.3 （14/42）%, 47.6% （20/42） and 90.5% （38/42） respectively. The most common immune phenotype was B-cell lineage （95.2%）. Conclusion CT scan plus endoscopic ultrasonography are most effective in diagnosis of primary gastrointestinal malignant lymphoma.

关 键 词：原发性胃肠道恶性淋巴瘤 计算机体层摄影术 微超声探头检查 

分 类 号：R735[医药卫生—肿瘤]