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目的 探讨胃原发NHL临床表现的共同规律和有效的诊断方法。方法 对 4 5例胃原发NHL进行回顾性分析 ,生存率计算用寿命表法。结果 39例患者行胃镜或X线造影 8例确诊 ,诊断率仅 2 0 .5 1%。根治术 +化疗和 /或放疗 5年以上生存率达 92 .85 % ,非根治术 +化疗和 /或放疗 5年以上生存率为72 .72 %。结论 胃镜、X线造影仍是最有价值的诊断手段。根治术 +化疗或放疗是有效的治疗方法 ,影响本病预后因素与临床病理分型、浸润胃壁深度、治疗措施、组织学类型相关 ,与肿块大小无明显相关
Objective To investigate the common rules and effective methods of clinical diagnosis of primary gastric NHL. Methods A total of 45 gastric primary NHLs were retrospectively analyzed. Survival rate was calculated using life table method. Results 39 patients were diagnosed by gastroscopy or X-ray angiography in 8 cases, the diagnosis rate was only 20.51%. The survival rate of radical mastectomy + chemotherapy and / or radiotherapy over 5 years was 92.85%, and the survival rate of non-radical mastectomy plus chemotherapy and / or radiotherapy over 5 years was 72.72%. Conclusion Gastroscopy, X-ray angiography is still the most valuable diagnostic tool. Radical surgery + chemotherapy or radiotherapy is an effective treatment, the prognosis of the disease factors and clinical pathological type, depth of infiltration of the stomach wall, treatment measures, histological type related to the size of the tumor was not significantly correlated