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目的总结胃黏膜相关淋巴组织(mucosa-associated lymphoid tissue,MALT)淋巴瘤临床诊治经验,分析影响诊断、治疗和预后的因素。方法回顾性分析我院57例胃MALT淋巴瘤临床资料。结果胃MALT淋巴瘤术前诊断率低于胃癌。手术组患者5年生存率明显高于非手术组(P<0.05)。结论MALT诊断主要依靠内镜活检为主,多种方法联合可明显提高本病诊断率。手术为主联合辅助治疗效果最佳。肿瘤临床分期、病灶大小、是否手术切除是影响预后的主要因素。
Objective To summarize the experience of clinical diagnosis and treatment of gastric mucosa-associated lymphoid tissue (MALT) lymphoma and to analyze the factors influencing diagnosis, treatment and prognosis. Methods Retrospective analysis of 57 cases of gastric MALT lymphoma in our hospital clinical data. Results The preoperative diagnosis rate of gastric MALT lymphoma was lower than that of gastric cancer. The 5-year survival rate of the operation group was significantly higher than that of the non-operation group (P <0.05). Conclusion The diagnosis of MALT is mainly based on endoscopic biopsy. Combining multiple methods can significantly improve the diagnostic rate of this disease. Surgery-based adjuvant therapy best. Tumor clinical stage, the size of the lesion, whether surgical resection is the main factor affecting the prognosis.