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本文分析了我院1991年3月至1995年8月经手术病理证实的16例胃恶性淋巴瘤的内镜下特点.内镜所见以溃疡型多见,共8例.病灶多为不规则巨大溃疡,呈放射状或地图状,形态各异.息肉样型5例,表现为息肉或结节样隆起.浸润型3例,呈广泛性浅表溃疡.术前胃镜确诊加疑诊共8例,术后组织学诊断均为非何杰金淋巴瘤.本病的治疗、预后与胃癌有较大差异,术前诊断十分重要.内镜检查是术前确诊本病的重要方法,加深内镜下表现特征的认识,对提高内镜确诊率从而提高本病的早期发现率和治愈率具有重要价值.
This article analyzed the endoscopic features of 16 cases of gastric malignant lymphoma confirmed by operation and pathology in our hospital from March 1991 to August 1995. Endoscopic findings of ulcers are more common, a total of 8 cases. The lesions are mostly irregular Ulcers, radial or map-like, various shapes. Polypoid type in 5 cases, manifested as polyps or nodular uplift. Infiltration in 3 cases, showed a wide range of superficial ulcers. Preoperative gastroscopy confirmed diagnosis plus a total of 8 cases, The postoperative histological diagnosis was non-Hodgkin’s lymphoma. The treatment, prognosis and gastric cancer of this disease are quite different. Preoperative diagnosis is very important. Endoscopy is an important method to diagnose the disease before surgery, deepen the endoscope. The recognition of performance characteristics is of great value in improving the rate of endoscopic diagnosis and thus improving the early detection rate and cure rate of the disease.